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 481 - 490 of 677
SDP Identifier:: NC_Fee_IPH.OPH.BHI.BHO_New_20220701-20230630
State: North Carolina
Summary:
Uniform percentage increase established by the state for inpatient and outpatient hospital services and behavioral health inpatient and outpatient hospital services at eligible acute care and critical access hospitals 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 $2,596,485,198.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Behavioral health inpatient service, Behavioral health outpatient services, Inpatient hospital service, Outpatient hospital service
Review Type: New
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_PC.SP2_Renewal_20221001-20230930
State: Florida
Summary:
Uniform percentage increase established by the state for primary care and specialty physician services at public hospitals for the rating period covering October 1, 2022 through September 30, 2023, incorporated into the capitation rates through a separate payment term of up to $80,051,380.
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:: FL_Fee_IPH.OPH4_Renewal_20221001-20230930
State: Florida
Summary:
Uniform percentage increase established by the state for eligible inpatient and outpatient hospital services for the rating period covering October 1, 2022 through September 30, 2023, incorporated in the capitation rates through a separate payment term of up to $3,430,910,455.
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:: GA_VBP.Fee_IPH.OPH_Renewal_20230701-20240630
State: Georgia
Summary:
The GA-AIDE uniform increase and performance improvement initiative for inpatient and outpatient hospital services 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 $463,642,464.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
Inpatient hospital service, Outpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: GA_Fee_IPH.OPH_Renewal_20230701-20240630
State: Georgia
Summary:
The uniform percentage increase for inpatient and outpatient hospital services 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$295,260,164.
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:: MI_Fee_HCBS3_Renewal_20221001-20230930
State: Michigan
Summary:
The uniform dollar increase established by the state for direct care workers providing personal care services to eligible enrollees for the rating period covering October 1, 2022 through September 30, 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:
HCBS/personal care services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: MI_Fee_HCBS1_Renewal_20230101-20231231
State: Michigan
Summary:
The uniform dollar increase established by the state for direct care workers providing personal care services to eligible enrollees for the rating period covering January 1, 2023 through December 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:
HCBS/personal care services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: MO_Fee_OPH_Renewal_20230701-20240630
State: Missouri
Summary:
Minimum and maximum fee schedules established by the state for outpatient hospital services 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:
Outpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: OK_Fee_IPH.OPH1_Renewal_20240401-20250630
State: Oklahoma
Summary:
Uniform increase for inpatient and outpatient hospital services at private, non-state government, and critical access hospitals for the rating period covering April 1, 2024 through June 30, 2025 incorporated in the capitation rates through a separate payment term of up to $1,262,703,035.
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:: VA_Fee_Oth_Renewal_20230701-20230930
State: Virginia
Summary:
The minimum fee schedule established by the state for Durable Medical Equipment providers for the rating period covering July 1, 2023 through September 30, 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:
Other
Review Type: Renewal
Approval Period: Single Rating Period
Results per page