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 361 - 370 of 677
SDP Identifier:: MN_Fee_IPH.OPH.AMC.Oth_Renewal_20230101-20231231
State: Minnesota
Summary:
Minimum fee schedule established by the state for eligible inpatient and outpatient hospital services, professional services at an academic medical center, ambulance services, and anesthesia services 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:
Fee schedule
Provider Class:
Inpatient hospital service, Other, Outpatient hospital service, Professional services at an academic medical center
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: MN_Fee_IPH.OPH.AMC.Oth_Renewal_20240101-20241231
State: Minnesota
Summary:
Minimum fee schedule established by the state for eligible inpatient and outpatient hospital services, professional services at an academic medical center, ambulance services, and anesthesia services for the rating period, January 1, 2024 through December 31, 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:
Inpatient hospital service, Other, Outpatient hospital service, Professional services at an academic medical center
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: MO_Fee_BHO_Renewal_20230701-20240630
State: Missouri
Summary:
Minimum fee schedule for Community Mental Health Clinics established by the state for the rating period covering July 1, 2023 through June 30, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Behavioral health outpatient services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: NV_Fee_AMC_Amend_20220101-20221231
State: Nevada
Summary:
Uniform increase for eligible professional services at designated academic medical centers for the rating period covering January 1, 2022 through December 31, 2022, incorporated in the capitation rates through a separate payment term of up to $20,386,808.36.
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:: NV_Fee_IPH_Amend2_20220101-20221231
State: Nevada
Summary:
A uniform increase for inpatient hospital services rendered by public hospitals for the rating period covering January 1, 2022 through December 31, 2022, incorporated in the capitation rates through a separate payment term of up to $73,708,805.29.
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:: PA_Fee_Oth3_Renewal_ 20240101-20241231
State: Pennsylvania
Summary:
The alternative fee schedule for ambulance services owned and operated by the Cities of Pittsburgh and Philadelphia for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
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:: MA_Fee_BHI2_Renewal_20230101-20230331
State: Massachusetts
Summary:
Minimum fee schedule for psychiatric services for enrollees under the age of 21 with Autism Spectrum Disorder or Intellectual or Developmental Disability (ASD/IDD) for the rating period covering January 1, 2023 through March 31, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Behavioral health inpatient service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: NV_Fee_IPH.OPH_Renewal_20240101-20241231
State: Nevada
Summary:
Uniform increase for inpatient and outpatient hospital services at non-state governmentally owned 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 $240,129,255.30.
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:: NV_Fee_IPH.OPH2_New_20240101-20241231
State: Nevada
Summary:
Uniform increase for eligible inpatient and outpatient services at eligible private 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 $748,780,840.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Inpatient hospital service, Outpatient hospital service
Review Type: New
Approval Period: Single Rating Period
SDP Identifier:: NV_VBP_Oth_Renewal_20230101-20231231
State: Nevada
Summary:
Value based payment for Certified Community Behavioral Health Centers (CCBHCs) for the rating period covering January 1, 2023 through December 31, 2023, incorporated in the capitation rates through a separate payment term of up to $1,015,232.55.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
Other
Review Type: Renewal
Approval Period: Single Rating Period
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