The Centers for Medicare & Medicaid Services (CMS) Medicaid managed care regulations at 42 C.F.R. § 438 govern how states may direct plan expenditures in connection with implementing delivery system and provider payment initiatives under Medicaid managed care contracts. CMS began reviews of state directed payment arrangements beginning with contract rating periods on or after July 1, 2017. For more information on state directed payments, please visit our Guidance Page. Persons with disabilities having problems accessing the Preprint PDF files may call 410-786-0429 for assistance.
Approved State Directed Payment Preprints
Florida
Uniform percentage increase for primary care services and specialty physician services for the rating period covering October 1, 2025 through September 30, 2026, incorporated in the capitation rates through a separate payment term amount up to $52,159,369.
Approval Date:
March 5, 2026
Effective Date:
October 1, 2025
Links:
Florida
Maximum Fee Schedule for inpatient hospital services and outpatient hospital services for the rating period covering October 1, 2024 through January 31, 2025, incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
March 3, 2026
Effective Date:
October 1, 2024
Links:
Florida
Maximum Fee Schedule for inpatient hospital services and outpatient hospital services for the rating period covering February 1, 2025 through September 30, 2025,incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
March 3, 2026
Effective Date:
February 1, 2025
Links:
Florida
Uniform percentage increase for inpatient and outpatient hospital services for rating periods covering October 1, 2024 through January 31, 2025, incorporated in the capitation rates through a separate payment term amount up to $108,835,976.
Approval Date:
February 20, 2026
Effective Date:
October 1, 2024
Links:
Florida
Uniform percentage increase for inpatient and outpatient hospital services for the rating period covering February 1, 2025 through September 30, 2025, incorporated in the capitation rates through a risk-based rate adjustment amount up to$217,671,953.
Approval Date:
February 20, 2026
Effective Date:
February 1, 2025
Links:
Florida
Uniform percentage increase for inpatient and outpatient hospital services for rating periods covering October 1, 2023 through September 30, 2024, incorporated in the capitation rates through a separate payment term amount of up to $452,805,524.
Approval Date:
January 27, 2026
Effective Date:
October 1, 2023
Links:
Florida
Minimum fee schedule for dental services for rating period covering October 1, 2024through January 31, 2025, incorporated in the capitation rates through a risk-based rate adjustment amount of up to $27,557.
Approval Date:
December 9, 2025
Effective Date:
October 1, 2024
Links:
Florida
Minimum fee schedule for dental services for rating period covering February 1, 2025through September 30, 2025, incorporated in the capitation rates through a risk-based rate adjustment amount of up to $58,465.
Approval Date:
December 9, 2025
Effective Date:
February 1, 2025
Links:
Florida
Minimum fee schedule for primary care services and specialty physician services for rating period covering October 1, 2024 through January 31, 2025, incorporated in the capitation rates through a risk-based rate adjustment of up to $75,353,889.
Approval Date:
December 5, 2025
Effective Date:
October 1, 2024
Links:
Florida
Minimum fee schedule for primary care services and specialty physician services for rating period covering February 1, 2025 through September 30, 2025, incorporated in the capitation rates through a risk-based rate adjustment amount of up to $150,707,779.
Approval Date:
December 5, 2025
Effective Date:
February 1, 2025
Links: