Approved State Directed Payment Preprints

Uniform increase established by the state for eligible outpatient hospital services, for the rating period July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a risk-based rate adjustment.

Value based payment arrangement for Children’s Integrated Services (CIS) providers established by the state for the rating period January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.

Uniform percentage increase for physician and other eligible professional services established by the state for the rating period covering July 1, 2021 through June 30, 2022, incorporated in the capitation rates through a separate payment term of up to $129,984,744.

Uniform percentage increase for inpatient and outpatient hospital services established by the state for the rating period covering July 1, 2021 through June 30, 2022, incorporated in the capitation rates through a separate payment term of up to $234,676,123.

Renewal of a value-based purchasing and uniform percent increase arrangement established by the state to increase nursing facility per diem rates by the market basket index (MBI) factor and to provide quality incentive payments for nursing facilities that meet performance requirements on specified quality metrics for the rating period covering July 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk-based adjustment.

Renewal of the uniform percentage increase established by the state for qualified practitioners who are members of a practice plan under contract to provide professional services at a state-owned academic medical center for the rating period covering July 1, 2024 through December 31, 2024, incorporated in the capitation rates through a separate payment term of up to $13 million.

Renewal of the value-based payment and uniform increase established by the state for participating nursing facilities that demonstrate quality improvement for the rating period covering July 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.

Uniform increase established by the state for nursing facility services for the rating period covering July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a risk-based rate adjustment.

Uniform increase established by the state for nursing facility services for the rating period covering July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a risk-based rate adjustment.

Uniform increase established by the state for inpatient and outpatient hospital service sand long-term acute care (LTAC) services at eligible critical access hospitals, acute, and rehabilitation hospitals for the rating period, January 1, 2024 through December 31,2024, incorporated into the capitation rates through a separate payment term of up to$510,504,611.