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CA_VBP_IPH.OPH2_Amend_20210101-20231231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
CA_VBP_IPH.OPH2_Amend_20210101-20231231
Approval Date
Effective Date
State
California
Payment Type
Value-based payment
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
Amendment
State Rating Period Start Date
Approval Period
Multiple Rating Period
State Rating Period End Date

CA_VBP_IPH.OPH_Amend_20210101-20231231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
CA_VBP_IPH.OPH_Amend_20210101-20231231
Approval Date
Effective Date
State
California
Payment Type
Value-based payment
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
Amendment
State Rating Period Start Date
Approval Period
Multiple Rating Period
State Rating Period End Date

CA_Fee_Oth2_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
CA_Fee_Oth2_Renewal_20240101-20241231
Approval Date
Effective Date
State
California
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

CA_Fee_Oth1_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
CA_Fee_Oth1_Renewal_20240101-20241231
Approval Date
Effective Date
State
California
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

CA_Fee_IPH.OPH.NF_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
CA_Fee_IPH.OPH.NF_Renewal_20240101-20241231
Approval Date
Effective Date
State
California
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Nursing facility services
Outpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

CA_Fee_D_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
CA_Fee_D_Renewal_20240101-20241231
Approval Date
Effective Date
State
California
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

AZ_Fee_NF_Renewal_20231001-20240930

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
AZ_Fee_NF_Renewal_20231001-20240930
Approval Date
Effective Date
State
Arizona
Payment Type
Fee schedule
Provider Class
Nursing facility services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

AZ_Fee_IPH.OPH1_Renewal_20231001-20240930

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
AZ_Fee_IPH.OPH1_Renewal_20231001-20240930
Approval Date
Effective Date
State
Arizona
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

AZ_Fee_IPH.OPH.PC.SP.NF.HCBS.BHI.BHO.D_Renewal_20231001-20240930

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
AZ_Fee_IPH.OPH.PC.SP.NF.HCBS.BHI.BHO.D_Renewal_20231001-20240930
Approval Date
Effective Date
State
Arizona
Payment Type
Fee schedule
Provider Class
Behavioral health inpatient service
Behavioral health outpatient services
Dental services
HCBS/personal care services
Inpatient hospital service
Nursing facility services
Outpatient hospital service
Primary care services
Specialty physician services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

ND-23-0027

With this amendment the state is making the following updates: remove annual service limits and revise provider qualifications for care coordination, benefits planning, housing supports, revocational training, supported employment, and supported education.

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