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PR_Fee_PC1_Renewal_20231001-20240930

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
PR_Fee_PC1_Renewal_20231001-20240930
Approval Date
Effective Date
State
Puerto Rico
Payment Type
Fee schedule
Provider Class
Primary care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

PR_Fee_PC_Renewal_20231001-20240930

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
PR_Fee_PC_Renewal_20231001-20240930
Approval Date
Effective Date
State
Puerto Rico
Payment Type
Fee schedule
Provider Class
Primary care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

PR_Fee_D_Renewal_20231001-20240930

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
PR_Fee_D_Renewal_20231001-20240930
Approval Date
Effective Date
State
Puerto Rico
Payment Type
Fee schedule
Provider Class
Dental services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

OR_Fee_IPH.OPH1_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
OR_Fee_IPH.OPH1_Renewal_20240101-20241231
Approval Date
Effective Date
State
Oregon
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

OR_Fee_IPH.OPH3_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
OR_Fee_IPH.OPH3_Renewal_20240101-20241231
Approval Date
Effective Date
State
Oregon
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

OH_Fee_IPH.OPH.Oth2_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
OH_Fee_IPH.OPH.Oth2_Renewal_20240101-20241231
Approval Date
Effective Date
State
Ohio
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

OH_Fee_IPH.OPH.Oth1_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
OH_Fee_IPH.OPH.Oth1_Renewal_20240101-20241231
Approval Date
Effective Date
State
Ohio
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NM_VBP.Fee_NF_Renewal_20240101-20240630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NM_VBP.Fee_NF_Renewal_20240101-20240630
Approval Date
Effective Date
State
New Mexico
Payment Type
Fee schedule
Value-based payment
Provider Class
Nursing facility services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NM_Fee_IPH.OPH4_Renewal_20240101-20240630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NM_Fee_IPH.OPH4_Renewal_20240101-20240630
Approval Date
Effective Date
State
New Mexico
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NM_Fee_IPH.OPH3_Renewal_20240101-20240630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NM_Fee_IPH.OPH3_Renewal_20240101-20240630
Approval Date
Effective Date
State
New Mexico
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date
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