Approved State Directed Payment Preprints
Results
SDP Identifier:: FL_Fee_IPH.OPH2_Renewal_ 20231001-20240930
Maximum fee schedule established by the state for eligible inpatient and outpatient hospital services for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a risk-based rate adjustment
SDP Identifier:: LA_Fee_BHO2_New_20240101-20241231
A uniform dollar increase for psychotherapy services that utilize dialectical behavior therapy (DBT) for behavioral health outpatient services 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 $3,440,000.
SDP Identifier:: OH_VBP.Fee_AMC.PC.SP.Oth_Renewal_20240101-20241231
The Care Innovation and Community Improvement Program established by the state for the rating period covering January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk based rate adjustment and a separate payment term up to $28,091,682.
SDP Identifier:: MI_Fee_BHI_Renewal_20231001-20240930
Uniform dollar increase for psychiatric inpatient days for the rating period covering October 1, 2023 through September 30, 2024 incorporated in the capitation rates through a separate payment term of up to $215,800,000.
SDP Identifier:: IL_Fee_AMC_Renewal_20240101-20241231
Uniform increase established by the state for services provided by physicians employed
by State-owned medical schools 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 $113,300,000.
SDP Identifier:: IL_Fee_IPH.OPH2_Renewal_20240101-20241231
Uniform increase established by the state for inpatient and outpatient services at large nonstate government 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 $575 million.
SDP Identifier:: NC_Fee_IPH.OPH.BHI.BHO_Amend2_20220701-20230630
Uniform percentage increase established by the state for inpatient and outpatient hospital services and behavioral health inpatient and outpatient hospital services at eligible acute care and critical access hospitals for the rating period covering July 1, 2022 through June 30, 2023, incorporated in the capitation rates through a separate payment term of up to $2,889,672,115.
SDP Identifier:: NC_Fee_NF.BHI_Renewal_20230701-20240630
Minimum fee schedule for non-state government owned skilled nursing facility admission days and inpatient behavioral health stays based on actual utilization for the rating period, July 1, 2022 through June 30, 2023, incorporated into the capitation rates through an adjustment to base rates.
SDP Identifier:: MA_Fee_HCBS3_Renewal_20220101-20221231
Uniform increase established by the state for eligible home and community-based service (HCBS) providers for the rating period covering January 1, 2022 through December 31, 2022, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: MA_Fee_HCBS3_Renewal_20230101-20230331
Uniform increase established by the state for eligible home and community-based service (HCBS) providers for the rating period covering January 1, 2023 through March 31, 2023, incorporated in the capitation rates through a risk-based rate adjustment.