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CA_Fee_Oth1_Renewal_20230101-20231231

Submitted by bernard.barnes… on
File - Approval Letter Media
CA_Fee_Oth1_Renewal_20230101-20231231
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_Oth2_Renewal_20220101-20221231

Submitted by bernard.barnes… on
File - Approval Letter Media
CA_Fee_Oth2_Renewal_20220101-20221231
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

AZ_Fee_AMC_Amend_20221001-20230930

Submitted by bernard.barnes… on
File - Approval Letter Media
AZ_Fee_AMC_Amend_20221001-20230930
Approval Date
Effective Date
State
Arizona
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

AZ_Fee_AMC_Amend_ 20211001-20220930

Submitted by bernard.barnes… on
File - Approval Letter Media
AZ_Fee_AMC_Amend_ 20211001-20220930
Approval Date
Effective Date
State
Arizona
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

VT-23-0041

This Alternative Benefit Plan (ABP) adds Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT) and Paramedic provider types to ensure coverage authority for ambulance treatment without transport.  This aligns the state’s ABP with approved SPA 23-0037.

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