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 541 - 550 of 677
SDP Identifier:: NJ_Fee_IPH.BHI_Renewal_20230701-20240630
State: New Jersey
Summary:
The uniform dollar increase for inpatient hospital services provided by general acute care hospitals and freestanding psychiatric hospitals in Camden County 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 $134,768,687.
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:: NM_Fee_AMC_Renewal_20230101-20231231
State: New Mexico
Summary:
A 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 January 1, 2023 through December 31, 2023, incorporated in the capitation rates through a separate payment term of up to $64 million.
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:: NJ_Fee_IPH2_Renewal_20230701-20240630
State: New Jersey
Summary:
A uniform dollar increase for inpatient hospital services provided by Hudson County hospitals 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 $72,753,656.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Inpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: NJ_Fee_IPH.BHI3_New_20230701-20240630
State: New Jersey
Summary:
The uniform dollar increase for inpatient hospital services provided by participating hospitals in Ocean County 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 $63,498,231.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Behavioral health inpatient service, Inpatient hospital service
Review Type: New
Approval Period: Single Rating Period
SDP Identifier:: NJ_Fee_IPH.BHI2_New_20230701-20240630
State: New Jersey
Summary:
The uniform dollar increase for inpatient hospital services provided by general acute care hospitals and non-general acute care hospitals in Burlington County 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 $60,600,614.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Behavioral health inpatient service, Inpatient hospital service
Review Type: New
Approval Period: Single Rating Period
SDP Identifier:: NJ_Fee_IPH.BHI1_New_20230701-20240630
State: New Jersey
Summary:
The uniform dollar increase for inpatient hospital services provided by public and private acute care hospitals and freestanding psychiatric hospitals in Bergen County 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 $311,194,527.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Behavioral health inpatient service, Inpatient hospital service
Review Type: New
Approval Period: Single Rating Period
SDP Identifier:: Tx-Fee-Oth-Renewal-20230901-20240831
State: Texas
Summary:
Behavioral Health Services (BHS) directed payment program for the rating period covering September 1, 2023 through August 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:: Tx-Fee-Oth1-Renewal-20230901-20240831
State: Texas
Summary:
Rural Access to Primary and Preventative Services (RAPPS) for the rating period covering September 1, 2023 through August 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:: Tx-Fee-Amc-Pc-Sp-Renewal-20220901-20230831
State: Texas
Summary:
Texas Incentives for Physicians and Professional Services (TIPPS) program for the rating period covering September 1, 2023 through August 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:
Primary care services, Professional services at an academic medical center, Specialty physician services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: Tx-Fee-Iph-Oph-Bhi-Renewal-20220901-20230831
State: Texas
Summary:
Comprehensive Hospital Increase Reimbursement Program (CHIRP) directed payment for the rating period covering September 1, 2023 through August 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:
Behavioral health inpatient service, Inpatient hospital service, Outpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
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