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 61 - 70 of 641
SDP Identifier:: FL_Fee_PC.SP_Renewal_20231001-20240930
State: Florida
Summary:
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.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Primary care services, Specialty physician services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_PC.SP2_Renewal_20221001-20230930
State: Florida
Summary:
Uniform percentage increase established by the state for primary care and specialty physician services at public hospitals for the rating period covering October 1, 2022 through September 30, 2023, incorporated into the capitation rates through a separate payment term of up to $80,051,380.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Primary care services, Specialty physician services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL_Fee_PC.SP2_Renewal_20231001-20240930
State: Florida
Summary:
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.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Primary care services, Specialty physician services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: FL-Fee-HCBS-BHO-Oth-New-20221001-20230930
State: Florida
Summary:
Uniform percentage increase established by the state for home and community-based services, behavioral health outpatient services, and eligible non-waiver 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 $296,534,267.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Behavioral health outpatient services, HCBS/personal care services, Other
Review Type: New
Approval Period: Single Rating Period
SDP Identifier:: Fl-Fee-Pc-Sp-Renewal-20221001-20230930
State: Florida
Summary:
Minimum fee schedule established by the state for primary care services and specialty physician 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:
Primary care services, Specialty physician services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: Fl-Proposal-D-Amendment-2020-2021
State: Florida
Summary:
Uniform increase established by the state for inpatient and outpatient hospital exemption payments for the rating period covering October 1, 2020 through September 30, 2021, incorporated in the capitation rates through a separate payment term up to $240,107,394.00
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Dental services
Review Type: Amendment
Approval Period: Single Rating Period
SDP Identifier:: GA_Fee_IPH.OPH_Amend_20210701-20220630
State: Georgia
Summary:
Uniform percentage increase for inpatient and outpatient hospital services established by the state for the rating period covering July 1, 2021 through June 30, 2022, incorporated in the capitation rates through a separate payment term of up to $234,676,123.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Fee schedule
Provider Class:
Inpatient hospital service, Outpatient hospital service
Review Type: Amendment
Approval Period: Single Rating Period
SDP Identifier:: GA_Fee_IPH.OPH_Renewal_20230701-20240630
State: Georgia
Summary:
The uniform percentage increase for inpatient and outpatient hospital services established by the state for the rating period covering July 1, 2023 through June 30,2024, incorporated in the capitation rates through a separate payment term of up to$295,260,164.
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:: GA_Fee_IPH.OPH_Renewal_20240701-20250630
State: Georgia
Summary:
Uniform percentage increase for inpatient and outpatient hospital services established by the state 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 $399,220,710.
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:: GA_Fee_IPH.OPH2_Renewal_20230701-20240630
State: Georgia
Summary:
The uniform percentage increase for inpatient and outpatient hospital services furnished by eligible teaching hospitals established by the state for the rating period covering July 1, 2023 through June 30, 2024, incorporated in the capitation rates through a separate payment term of up to $865,295,240.
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
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