Approved State Directed Payment Preprints

Uniform dollar increase and value-based payment established by the state for inpatient and outpatient hospital services and professional services at an academic medical center for the rating period covering January 1, 2025 through December 31, 2025, incorporated in the capitation rates through a separate payment term of up to $135,747,624.

Uniform dollar increase for governmental units providing ground emergency medical transportation, established by the state for the rating period covering January 1, 2025, through December 31, 2025, incorporated in the capitation rates through a separate payment term of up to $23,069,255.

Uniform percentage increase established by the state for eligible inpatient and outpatient hospital services for the rating period, January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a separate payment term of up to $1,602,057,288.50.

Uniform dollar increase for ground emergency medical transportation for privately-owned providers, established by the state for the rating period covering January 1, 2025, through December 31, 2025, incorporated in the capitation rates through a separate payment term of up to $27,629,600.

Amendment to a value-based purchasing and uniform percent increase arrangement established by the state to increase nursing facility per diem rates by the market basket index (MBI) factor and to provide quality incentive payments for nursing facilities that meet performance requirements on specified quality metrics for the rating period covering July 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk-based adjustment.

Amendment to the value-based payment and uniform increase established by the state for participating nursing facilities that demonstrate quality improvement for the rating period covering July 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk-based rate adjustment.

The uniform increase for long term acute care hospitals established by the state for inpatient hospital services for the rating period, January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a separate payment term up to $1,750,000.

Uniform increase for physician and professional services provided at qualifying Iowa state-owned or operated professional services practices for the rating period covering July 1, 2022 through June 30, 2023, incorporated into the capitation rates through a separate payment term up to $113,808,126.

Uniform increase for inpatient and outpatient hospital services at qualifying Iowa state owned or operated teaching hospitals for the rating period covering July 1, 2022 through June 30, 2023, incorporated into the capitation rates through a separate payment term up to $481,979,441.

Uniform percentage increase established by the state for eligible home and community-based services for the rating period, January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a separate payment term of up to $151,000,000.