Approved State Directed Payment Preprints
Results
SDP Identifier:: MS_Fee.VBP_IPH.OPH_Renewal_20240701-20250630
Uniform percentage increase and performance improvement initiative payments established by the state for inpatient and outpatient hospital services for the rating period covering July 1, 2024 through June 30, 2025, incorporated in the capitation rates through a separate payment term of up to $1,565,840,324.
SDP Identifier:: NY_Fee_PC_New_20240401-20250331
Minimum fee schedules established by the state for eligible primary care providers who have active New York State Patient Centered Medical Home (PCMH) recognition for assigned members for the rating period, April 1, 2024 through March 31, 2025, incorporated into the capitation rates through a separate payment term up to $203,730,871.
SDP Identifier:: FL_Fee_PC.SP2_Renewal_20231001-20240930
Uniform percentage increase established by the state for primary care services and specialty physician services at public hospitals for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a separate payment term up to $94,789,865.
SDP Identifier:: MI_Fee_BHO_New_20231001-20240930
Minimum fee schedule authorized for the administration and services of Methadone established by the state for behavioral health outpatient services for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation through a risk based rate adjustment.
SDP Identifier:: OH_VBP.Fee_AMC.PC.SP.Oth_Amend_20240101-20241231
The Care Innovation and Community Improvement Program established by the state for the rating period covering January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk based rate adjustment and a separate payment term up to $28,091,682.
SDP Identifier:: WA_Fee_IPH.OPH2_New_20240101-20241231
The uniform percentage increase established by the state for inpatient and outpatient hospital services provided by eligible Critical Access Hospitals and Prospective Payment System Hospitals for the rating period January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a separate payment term up to $1.818 billion.
SDP Identifier:: WI_Fee_HCBS2_Renewal_20240101-20241231
Uniform percentage increase established by the state for eligible home and community-based service (HCBS) providers for the rating period, January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: MA_Fee_IPH.OPH_Renewal_20230401-20231231
Uniform increase established by the state for eligible inpatient and outpatient hospital services for the rating period covering April 1, 2023 through December 31, 2023, incorporated into the capitation rates through a separate payment term up to $181,924,825.
SDP Identifier:: FL_Fee_AMC_Renewal_ 20231001-20240930
Uniform percentage increase established by the state for professional services at an academic medical center for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a separate payment term up to $326,033,561.
SDP Identifier:: FL_Fee_PC.SP_Renewal_20231001-20240930
Minimum fee schedule established by the state for primary care services and specialty physician services for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a risk-based rate adjustment.