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 41 - 50 of 641
SDP Identifier:: vt-vbp-bho.oth-new-20230101-20231231
State: Vermont
Summary: Value-based payment arrangement for Vermont’s Northeastern Family Institute for the rating period covering January 1, 2023 through December 31, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
Behavioral health outpatient services, Other
Review Type: New
Approval Period: Single Rating Period
SDP Identifier:: VT_VBP_Oth_Renewal_20240101-20241231
State: Vermont
Summary:
Value-based payment arrangement for the High-Technology Nursing Program for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
Other
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: VT_VBP_Oth_Renewal_20230101-20231231
State: Vermont
Summary: Value-based payment arrangement for the High-Technology Nursing Program for the rating period covering January 1, 2023 through December 31, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
Other
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: VT_VBP_IPH.OPH.AMC.PC.SP_Renewal_20240101-20241231
State: Vermont
Summary:
Value-based payment arrangement for the Vermont Medicaid Next Generation (VMNG) ACO program for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
Inpatient hospital service, Outpatient hospital service, Primary care services, Professional services at an academic medical center, Specialty physician services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: VT_VBP_IPH.OPH.AMC.PC.SP_Renewal_20230101-20231231
State: Vermont
Summary: Value-based payment arrangement for the Vermont Medicaid Next Generation (VMNG) ACO program for the rating period covering January 1, 2023 through December 31, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
Inpatient hospital service, Outpatient hospital service, Primary care services, Professional services at an academic medical center, Specialty physician services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: VT_VBP_HCBS.BHO.Oth_Renewal_20240101-20241231
State: Vermont
Summary:
The Value Based Payment for community mental health centers to deliver a continuum of mental health services to adults and children via monthly case rates established by the state for the rating period, January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
Behavioral health inpatient service, HCBS/personal care services, Other
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: VT_VBP_HCBS.BHO.Oth_Renewal_20230101-20231231
State: Vermont
Summary:
The Value Based Payment for community mental health centers to deliver a continuum
of mental health services to adults and children via monthly case rates established by the
state for the rating period, January 1, 2023 through December 31, 2023, incorporated
into the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
HCBS/personal care services, Other
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: VT_VBP_HCBS_Renewal_20240101-20241231
State: Vermont
Summary:
Value-based payment arrangement for developmental disabilities services for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
HCBS/personal care services
Review Type: Renewal
Approval Period: Single Rating Period
SDP Identifier:: VT_VBP_HCBS_New_20230101-20231231
State: Vermont
Summary: Value-based payment arrangement for developmental disabilities services for the rating period covering January 1, 2023 through December 31, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
HCBS/personal care services
Review Type: New
Approval Period: Single Rating Period
SDP Identifier:: VT_VBP_BHO.Oth1_New_20240101-20241231
State: Vermont
Summary:
Value based payment arrangement for Children’s Integrated Services (CIS) providers established by the state for the rating period January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
Approval Date:
Effective Date:
Links:
State Rating Period:
-
Payment Type:
Value-based payment
Provider Class:
Behavioral health outpatient services, Other
Review Type: New
Approval Period: Single Rating Period
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