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PR_Fee_IPH_Renewal_20231001-20240930

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
PR_Fee_IPH_Renewal_20231001-20240930
Approval Date
Effective Date
State
Puerto Rico
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

PA_VBP_OPH_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
PA_VBP_OPH_Renewal_20240101-20241231
Approval Date
Effective Date
State
Pennsylvania
Payment Type
Value-based payment
Provider Class
Outpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

PA_VBP_IPH2_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
PA_VBP_IPH2_Renewal_20240101-20241231
Approval Date
Effective Date
State
Pennsylvania
Payment Type
Value-based payment
Provider Class
Inpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

PA_VBP_IPH_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
PA_VBP_IPH_Renewal_20240101-20241231
Approval Date
Effective Date
State
Pennsylvania
Payment Type
Value-based payment
Provider Class
Inpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

PA_Fee_Oth4_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
PA_Fee_Oth4_Renewal_20240101-20241231
Approval Date
Effective Date
State
Pennsylvania
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

PA_Fee_Oth3_Renewal_ 20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
PA_Fee_Oth3_Renewal_20240101-20241231
Approval Date
Effective Date
State
Pennsylvania
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

PA_Fee_Oth_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
PA_Fee_Oth_Renewal_20240101-20241231
Approval Date
Effective Date
State
Pennsylvania
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

TX-22-0022

This amendment is to update the State Plan to include Collaborative Care Model (CoCM) services, as directed by Senate Bill 672, 87^th^ Legislature, Regular Session, 2021.

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