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NV_Fee_IPH.OPH_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NV_Fee_IPH.OPH_Renewal_20240101-20241231
Approval Date
Effective Date
State
Nevada
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

NV_Fee_IPH_Amend2_20220101-20221231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NV_Fee_IPH_Amend2_20220101-20221231
Approval Date
Effective Date
State
Nevada
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NV_Fee_AMC_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NV_Fee_AMC_Renewal_20240101-20241231
Approval Date
Effective Date
State
Nevada
Payment Type
Fee schedule
Provider Class
Professional services at an academic medical center
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NV_Fee_AMC_Amend_20220101-20221231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NV_Fee_AMC_Amend_20220101-20221231
Approval Date
Effective Date
State
Nevada
Payment Type
Fee schedule
Provider Class
Professional services at an academic medical center
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NJ_VBP_IPH.OPH.BHI.BHO1_Renewal_20240701-20250630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NJ_VBP_IPH.OPH.BHI.BHO1_Renewal_20240701-20250630
Approval Date
Effective Date
State
New Jersey
Payment Type
Value-based payment
Provider Class
Behavioral health inpatient service
Behavioral health outpatient services
Inpatient hospital service
Outpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NJ_VBP_IPH.OPH_Renewal_20240701-20250630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NJ_VBP_IPH.OPH_Renewal_ 20240701-20250630
Approval Date
Effective Date
State
New Jersey
Payment Type
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

NE_Fee_D_Renewal_20230701-20231231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NE_Fee_D_Renewal_20230701-20231231
Approval Date
Effective Date
State
Nebraska
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

NC_Fee_IPH.OPH.BHI.BHO_Amend_20220701-20230630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
NC_Fee_IPH.OPH.BHI.BHO_Amend_20220701-20230630
Approval Date
Effective Date
State
North Carolina
Payment Type
Fee schedule
Provider Class
Behavioral health inpatient service
Behavioral health outpatient services
Inpatient hospital service
Outpatient hospital service
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

MS_Fee_Oth_Renewal_20230701-20240630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
MS_Fee_Oth_Renewal_20230701-20240630
Approval Date
Effective Date
State
Mississippi
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

MS_Fee_IPH.OPH_Amend_20230701-20240630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
MS_Fee_IPH.OPH_Amend_20230701-20240630
Approval Date
Effective Date
State
Mississippi
Payment Type
Fee schedule
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
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