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NM_Fee_IPH.OPH2_Renewal_20240101-20240630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NM_Fee_IPH.OPH2_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.OPH1_Renewal_20240101-20240630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NM_Fee_IPH.OPH1_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_VBP.Fee_IPH.OPH_Amend_20230101-20231231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NM_VBP.Fee_IPH.OPH_Amend_20230101-20231231
Approval Date
Effective Date
State
New Mexico
Payment Type
Fee schedule
Value-based payment
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NC_Fee_NF_New_20220701-20230630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NC_Fee_NF_New_20220701-20230630
Approval Date
Effective Date
State
North Carolina
Payment Type
Fee schedule
Provider Class
Nursing facility services
Review Type
New
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

MI_Fee_IPH.OPH_Renewal_20231001-20240930

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
MI_Fee_IPH.OPH_Renewal_20231001-20240930
Approval Date
Effective Date
State
Michigan
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

MA_Fee_IPH.OPH_Renewal_20230101-20230331

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
MA_Fee_IPH.OPH_Renewal_20230101-20230331
Approval Date
Effective Date
State
Massachusetts
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

KY_Fee_Oth_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
KY_Fee_Oth_Renewal_20240101-20241231
Approval Date
Effective Date
State
Kentucky
Payment Type
Fee schedule
Provider Class
Other
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

KY_Fee.VBP_IPH.OPH_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
KY_Fee.VBP_IPH.OPH_Renewal_20240101-20241231
Approval Date
Effective Date
State
Kentucky
Payment Type
Fee schedule
Value-based payment
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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