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MA_Fee_Oth_Renewal_20220101-20221231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ma-fee-oth-renewal-20220101-20221231
Approval Date
Effective Date
State
Massachusetts
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

LA_Fee_OTH1_Amend_20230701-20240630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
la-fee-oth1-amend-20230701-20240630
Approval Date
Effective Date
State
Louisiana
Payment Type
Fee schedule
Provider Class
Other
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

IA_Fee_AMC_Renewal_20230701-20240630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ia-fee-amc-renewal-20230701-20240630
Approval Date
Effective Date
State
Iowa
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

IL_Fee_NF2_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
il-fee-nf2-renewal-20230101-20231231
Approval Date
Effective Date
State
Illinois
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

IA_Fee_Oth_Renewal_20230701-20240630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ia-fee-oth-renewal-20230701-20240630
Approval Date
Effective Date
State
Iowa
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

IA_Fee_IPH.OPH_Renewal_20230701-20240630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ia-fee-iph-oph-renewal-20230701-20240630
Approval Date
Effective Date
State
Iowa
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

IA_Fee_IPH.OPH1_New_20230701-20240630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ia-fee-iph-oph1-new-20230701-20240630
Approval Date
Effective Date
State
Iowa
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
New
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

GA_Fee_IPH.OPH2_Renewal_20230701-20240630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ga-fee-iph-oph2-renewal-20230701-20240630
Approval Date
Effective Date
State
Georgia
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

FL_Fee_IPH.OPH2_Renewal_20221001-20230930

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
fl-fee-iph-oph2-renewal-20221001-20230930
Approval Date
Effective Date
State
Florida
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.OPH2_Renewal_20231001-20240930

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
az-fee-iph-oph2-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
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