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
New Jersey
Minimum fee schedules 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, 2025 through June 30, 2026,
incorporated into the capitation rates through a risk-based rate adjustment of up to $472,781,615.
Approval Date:
No Approval Date
Effective Date:
No Effective Date
Links: