Approved State Directed Payment Preprints
Results
SDP Identifier:: NE_Fee_D_Renewal_20240101-20241231
Uniform increase for staff and faculty dental providers at an academic dentistry institution of a public university established by the state for dental services for the rating period, January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk-based adjustment.
SDP Identifier:: OK_Fee_Oth2_New_20240401-20250630
Uniform increase for physicians and other qualifying practitioners established by the state for the purpose of using funds generated by the Supplemental Hospital Offset Payment Program (SHOPP) fee which establishes a managed care provider incentive pool to support healthcare quality assurance and access improvement initiatives for the rating period, April 1, 2024 through June 30, 2025, incorporated into the capitation rates through a separate payment term up to $134,330,110.
SDP Identifier:: OK_VBP_BHO_New_20240401-20250630
A value-based payment program for State-operated and private organizations contracted as Community Mental Health Centers for behavioral health outpatient services for the rating period, April 1, 2024 through June 30, 2025, incorporated into the capitation rates through a separate payment term up to $46,316,476
SDP Identifier:: OR_Fee_BHO3_Renewal_20240101-20241231
Renewal of uniform increase established by the state for behavioral health services furnished by qualified providers delivering services to members with co-occurring disorders (COD) for the rating period covering January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: OR_Fee_BHO1_Renewal_20240101-20241231
Renewal of the uniform increase established by the state for behavioral health services furnished by qualified providers for the rating period covering January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: OR_Fee_BHO2_Renewal_20240101-20241231
Renewal of the uniform increase established by the state for behavioral health services furnished by qualified providers for the rating period covering January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: CA_Fee_IPH.OPH1_Renewal_20230101-20231231
Uniform increase for inpatient and outpatient services provided by private hospitals as
defined in CA Welfare & Institutions Code § 14169.51(ap) for the rating period covering
January 1, 2023 through December 31, 2023, incorporated in the capitation rates through
a separate payment term of up to $5,392,730,897.
SDP Identifier:: IL_Fee_IPH.OPH3_Renewal_20240101-20241231
Uniform increase established by the state for inpatient and outpatient services at eligible
Illinois hospitals for the rating period covering January 1, 2024 through December 31,
2024, incorporated in the capitation rates through a separate payment term of up to
$4,674,700,000.00
SDP Identifier:: PA_Fee_IPH.OPH_Renewal_20240101-20241231
Uniform percentage increase established by the state for inpatient and outpatient hospital services for the rating period, January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a separate payment term up to $2,335,007,317.
SDP Identifier:: MI_Fee_HCBS2_Renewal_20231001-20240930
The uniform dollar increase established by the state for direct care workers providing personal care services to eligible enrollees for the rating period covering October 1, 2023 until September 30, 2024 incorporated in the capitation rates through a risk-based rate adjustment.