Approved State Directed Payment Preprints
Results
SDP Identifier:: VT_VBP_BHO_Renewal_20240101-20241231
Value-based payment arrangement for Vermont’s Northeastern Family Institute for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: GA_Fee_IPH.OPH3_Amend_20230701-20240630
The uniform percentage increase for inpatient and outpatient hospital services furnished by eligible teaching hospitals established by the state for the rating period covering July 1, 2023 through June 30, 2024, incorporated in the capitation rates through a separate payment term of up to $936,920,135.
SDP Identifier:: PA_VBP_NF2_Renewal_20240101-20241231
Value-based purchasing established by the state for eligible nursing facility services for the rating period, January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a separate payment term up to $15,000,000.
SDP Identifier:: WA_Fee_IPH.OPH3_Renewal_20240101-20241231
Uniform increase for hospitals owned or operated by a state university established by the state for inpatient and outpatient hospital services for the rating period, January 1, 2024through December 31, 2024, incorporated into the capitation rates through a separate payment term up to $433 million.
SDP Identifier:: WI_Fee_HCBS8_Renewal_20230701-20241231
Uniform increase established by the state for eligible home and community-based service (HCBS) providers for the rating period covering July 1, 2023 through December 31, 2024, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: AZ_Fee_IPH.OPH2_New_20231001-20240930
Uniform increase provided by the eligible public safety net hospital established by the
state for inpatient and outpatient hospital services for the rating period, October 1, 2023
through September 30, 2024, incorporated into the capitation rates through a separate
payment term up to $286.5 million.
SDP Identifier:: OH_Fee_AMC.PC.SP.Oth1_New_20240101-20241231
The uniform percentage increase for participating health systems affiliated with a public medical school established by the state for qualified practitioners for the rating period January 1, 2024 through December 31, 2024, incorporated into the capitation rates
through a separate payment term up to $20,000,000.
SDP Identifier:: OH_Fee_AMC.PC.SP.Oth2_New_20240101-20241231
The uniform percentage increase for participating health systems affiliated with a public medical school in Northeast class established by the state for qualified practitioners for the rating period January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a separate payment term up to $67,700,000.
SDP Identifier:: \GA_Fee_IPH.OPH2_Amend_20230701-20240630
The uniform percentage increase for inpatient and outpatient hospital services furnished by eligible teaching hospitals established by the state for the rating period covering July 1, 2023 through June 30, 2024, incorporated in the capitation rates through a separate payment term of up to $936,920,135.
SDP Identifier:: NE_Fee_AMC_Renewal_20240101-20241231
Uniform increase for faculty or staff members of an academic medical institution of a public university established by the state for the rating period, January 1, 2024through December 31, 2024, incorporated into the capitation rates through a risk-based rate adjustment.