Approved State Directed Payment Preprints
Results
SDP Identifier:: MN_VBP_IPH.OPH.AMC.PC.SP.BHI.BHO_Renewal_20240101-20261231
Value-based purchasing established by the state for the Integrated Health Partnership for eligible inpatient and outpatient hospital services, professional services at an academic medical center, primary care services, specialty physician services, and inpatient and outpatient behavioral health services for the rating period, January 1, 2024 through December 31, 2026, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: NJ_Fee_NF_Renewal_20240701-20250630
Uniform increase for nursing facility services provided by Class II (publicly owned)
nursing facilities with greater than 500 licensed beds for the rating period, July 1, 2024
through June 30, 2025, incorporated into the capitation rates through a separate payment
term up to $18,207,438.
SDP Identifier:: WI_Fee_HCBS4_Renewal_20240101-20241231
Uniform percentage increase for Family Care and Family Care Partnership which is established by the state for eligible home and community-based service (HCBS) providers 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:: NM_Fee_OPH1_New_20240101-20240630
The uniform increase established by the state for outpatient services delivered by state-owned hospitals that receive funding through the Miners’ Trust Fund for the rating period covering January 1, 2024 through June 30, 2024, incorporated in the capitation rates through a separate payment term of up to $2,340,000.
SDP Identifier:: LA_Fee_HCBS2_New_20230701-20240630
Uniform dollar increase for pediatric home health nurses established by the state for
home health services for the rating period, July 1, 2023 through June 30, 2024,
incorporated into the capitation rates through a separate payment term up to $3,307,280.
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.