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
Results
Displaying 201 - 210 of 677
SDP Identifier:: MA_Fee_IPH.OPH_Renewal_20230401-20231231
State: Massachusetts
Summary:
Uniform increase established by the state for eligible inpatient and outpatient hospital services for the rating period covering April 1, 2023 through December 31, 2023, incorporated into the capitation rates through a separate payment term up to $181,924,825.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Inpatient hospital service, Outpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_Oth_Renewal_20231001-20240930
State: Florida
Summary:
Uniform dollar increase established by the state for public emergency medical transportation services for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a separate payment term up to $200,000,000.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Other
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_AMC_Renewal_ 20231001-20240930
State: Florida
Summary:
Uniform percentage increase established by the state for professional services at an academic medical center for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a separate payment term up to $326,033,561.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Professional services at an academic medical center
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_PC.SP_Renewal_20231001-20240930
State: Florida
Summary:
Minimum fee schedule established by the state for primary care services and specialty physician services for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Primary care services, Specialty physician services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: SC_Fee_AMC_Amend_20220701-20230630
State: South Carolina
Summary:
Uniform percentage increase established by the state for professional services at an academic medic center 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 $153,400,000.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Professional services at an academic medical center
Review Type: Amendment
Approval Period: Single Rating Period
SDP Identifier:: NJ_Fee_IPH.BHI_Renewal_20240701-20250630
State: New Jersey
Summary:
Uniform dollar increase for inpatient hospital and behavioral health inpatient services provided by Camden County hospitals for the rating period, July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a separate payment term up to $230,048,387.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Behavioral health inpatient service, Inpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: NJ_Fee_AMC.PC.SP.D_Renewal_20240701-20250630
State: New Jersey
Summary:
Minimum fee schedules as established by the state for professional services provided by qualified providers affiliated with schools of medicine or dentistry who participate in the New Jersey Medicaid program for the rating period, July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a risk-based rate adjustment
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Dental services, Primary care services, Professional services at an academic medical center, Specialty physician services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: UT_Fee_IPH1_Amend_07012022-06302023
State: Utah
Summary:
Uniform dollar increase for private inpatient hospital services 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 $154,000,000.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Inpatient hospital service
Review Type: Amendment
Approval Period: Single Rating Period
SDP Identifier:: UT_Fee_HCBS.BHI.BHO_Amend_20220701-20230630
State: Utah
Summary:
A uniform percent increase for home and community based services providers, behavioral health providers, and school based services providers 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 $9,824,743.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Behavioral health inpatient service, Behavioral health outpatient services, HCBS/personal care services
Review Type: Amendment
Approval Period: Single Rating Period
SDP Identifier:: VT_VBP_HCBS.BHO.Oth_Renewal_20230101-20231231
State: Vermont
Summary:
The Value Based Payment for community mental health centers to deliver a continuum
of mental health services to adults and children via monthly case rates established by the
state for the rating period, January 1, 2023 through December 31, 2023, incorporated
into the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
HCBS/personal care services, Other
Review Type: Renewal
Approval Period: Single Rating Period
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