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 551 - 560 of 677
SDP Identifier:: Tx-Vbp-Fee-Nf-Renewal-20230901-20240831
State: Texas
Summary:
Quality Improvement Payment Program (QIPP) 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:
Value-based payment
Provider Class:
Nursing facility services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: Ms-Fee-Oth-New-20220701-20230630
State: Mississippi
Summary:
Uniform increase established by the state for ground emergency ambulance 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 $14,740,472.00.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Other
Review Type: New
Approval Period: Single Rating Period
SDP Identifier:: Nj-Fee-Iph3-Renewal-20230701-20240630
State: New Jersey
Summary:
Uniform dollar increase for inpatient hospital services provided by hospitals in Essex 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 $240,495,335.
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:: Ri-Fee-Hcbs1-Renewal-20220701-20230630
State: Rhode Island
Summary:
Uniform increase established by the state for personal care and combined personal care/ homemaker services for the rating period covering July 1, 2022 through June 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:: Fl-Proposal-D-Amendment-2020-2021
State: Florida
Summary:
Uniform increase established by the state for inpatient and outpatient hospital exemption payments for the rating period covering October 1, 2020 through September 30, 2021, incorporated in the capitation rates through a separate payment term up to $240,107,394.00
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Dental services
Review Type: Amendment
Approval Period: Single Rating Period
SDP Identifier:: Ma-Fee-Bho-Oth-Renewal-20220101-20221231
State: Massachusetts
Summary:
Uniform increase for behavioral health outpatient services, behavioral health diversionary services, and early intervention services established by the state for the rating period covering January 1, 2022 through December 31, 2022, 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, Other
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: Ma-Fee-Bho-Oth2-Renewal-20220101-20221231
State: Massachusetts
Summary:
Minimum fee scheduled established by the State for outpatient behavioral health services and behavioral health diversionary services for the rating period covering January 1, 2022 through December 31, 2022, 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, Other
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: Ma-Fee-Bhi-Renewal-20220101-20221231
State: Massachusetts
Summary:
Uniform increase for DMH-licensed Psychiatric Hospitals and all units with DMH-licensed beds within acute inpatient hospitals and all units that have DMH-licensed beds within applicable Chronic Disease and Rehabilitation Hospitals for the rating period covering January 1, 2022 through December 31, 2022, 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:: Ny-Fee-Iph-Oph-Bhi-Renewal-20230401-20240331
State: New York
Summary:
Uniform dollar increase for inpatient and outpatient services delivered by qualifying financially distressed hospitals for the rating period covering April 1, 2023 through March 31, 2024, incorporated in the capitation rates through a separate payment term of up to $1,559,329,241.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Behavioral health outpatient services, Inpatient hospital service, Outpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: Ny-Vbp-Iph2-New-20230401-20250331
State: New York
Summary:
A value-based payment arrangement for hospitals providing labor and delivery services for the rating periods covering April 1, 2023 through March 31, 2025, incorporated in the capitation rates through a separate payment term of up to $14 million for the April 1, 2023 – March 31, 2024 rating period and up to $24 million for the April 1, 2024 – March 31, 2025 rating period.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
Inpatient hospital service
Review Type: New
Approval Period: Multiple Rating Period
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