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Nv-Fee-Amc-Renewal-20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
nv-fee-amc-renewal-20230101-20231231
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

Nj-Fee-Iph3-Renewal-20230701-20240630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
nj-fee-iph3-renewal-20230701-20240630
Approval Date
Effective Date
State
New Jersey
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

Ms-Fee-Oth-New-20220701-20230630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ms-fee-oth-new-20220701-20230630
Approval Date
Effective Date
State
Mississippi
Payment Type
Fee schedule
Provider Class
Other
Review Type
New
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

Ma-Fee-Bho2-Renewal-20220101-20221231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ma-fee-bho2-renewal-20220101-20221231
Approval Date
Effective Date
State
Massachusetts
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

Ma-Fee-Bho-New-20220101-20221231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ma-fee-bho-new-20220101-20221231
Approval Date
Effective Date
State
Massachusetts
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
Review Type
New
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

Ma-Fee-Bho-Oth2-Renewal-20220101-20221231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ma-fee-bho-oth2-renewal-20220101-20221231
Approval Date
Effective Date
State
Massachusetts
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
Other
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

Ma-Fee-Bho-Oth-Renewal-20220101-20221231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ma-fee-bho-oth-renewal-20220101-20221231
Approval Date
Effective Date
State
Massachusetts
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
Other
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

LA-23-0013

This amendment is to revise the provisions governing the Preventive Services program in order to expand coverage for tobacco cessation counseling services to all Medicaid beneficiaries.

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