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 51 - 60 of 641
SDP Identifier:: FL_Fee_D_New_20231001-20240930
State: Florida
Summary:
Uniform percentage increase established by the state for eligible dental services for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a separate payment term up to $100,000.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Dental services
Review Type: New
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_IPH.OPH2_Renewal_ 20231001-20240930
State: Florida
Summary:
Maximum fee schedule established by the state for eligible inpatient and outpatient hospital services for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a risk-based rate adjustment
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Inpatient hospital service, Outpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_IPH.OPH2_Renewal_20221001-20230930
State: Florida
Summary:
Maximum fee schedule established by the state for eligible inpatient and outpatient hospital services for the rating period covering October 1, 2022 through September 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:
Inpatient hospital service, Outpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_IPH.OPH3_Renewal_202221001-20230930
State: Florida
Summary:
Uniform percentage increase established by the state for inpatient and outpatient hospital services at qualifying cancer hospitals for the rating period covering October 1, 2022 through September 30, 2023, incorporated in the capitation rates through a separate payment term of up to $129,312,167.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Inpatient hospital service, Outpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_IPH.OPH3_Renewal_20231001-20240930
State: Florida
Summary:
Uniform percentage increase established by the state for inpatient and outpatient hospital services at qualifying cancer hospitals in Region 6 and Region 11 for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a separate payment term up to $114,215,247.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Inpatient hospital service, Other
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_IPH.OPH4_Renewal_20221001-20230930
State: Florida
Summary:
Uniform percentage increase established by the state for eligible inpatient and outpatient hospital services for the rating period covering October 1, 2022 through September 30, 2023, incorporated in the capitation rates through a separate payment term of up to $3,430,910,455.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Inpatient hospital service, Outpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_IPH.OPH4_Renewal_20231001-20240930
State: Florida
Summary:
Uniform percentage increase established by the state for eligible inpatient and outpatient hospital services, excluding cancer hospitals, for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a separate payment term up to $3,362,969,548.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Inpatient hospital service, Outpatient hospital service
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_Oth_Renewal_20221001-20230930
State: Florida
Summary:
Uniform dollar increase established by the state for public emergency medical transportation services for the rating period covering October 1, 2022 through September 30, 2023, incorporated in the capitation rates through a separate payment term of up to $138,539,043.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Other
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_Oth_Renewal_20231001-20240930
State: Florida
Summary:
Uniform dollar increase established by the state for public emergency medical transportation services for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a separate payment term up to $200,000,000.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Other
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_PC.NF_New_20231001-20240930
State: Florida
Summary:
Uniform dollar increase established by the state for primary care services and pediatric nursing facility services for the rating period, October 1, 2023, through September 30,2024, incorporated into the capitation rates through a separate payment term of up to $15million.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Nursing facility services, Primary care services, Specialty physician services
Review Type: New
Approval Period: Single Rating Period
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