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
Arkansas
The uniform percentage increase established by the state for certain providers of HCBS services for the rating period covering January 1, 2022 through December 31, 2022, incorporated in the capitation rates through a separate payment term of up to $54,542,328.
Approval Date:
March 10, 2023
Effective Date:
January 1, 2022
Links:
Arkansas
Uniform dollar increase for psychiatric residential treatment facilities not located in hospitals for the rating period covering January 1, 2022 through December 31, 2022, incorporated in the capitation rates through a separate payment term of up to $5,102,154.
Approval Date:
March 2, 2023
Effective Date:
January 1, 2022
Links: