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LA-Fee-OTH1-New-20230701-20240630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
la-fee-oth1-new-20230701-20240630
Approval Date
Effective Date
State
Louisiana
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

LA-Fee-BHO-New-20230701-20240630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
la-fee-bho-new-20230701-20240630
Approval Date
Effective Date
State
Louisiana
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

KS-Fee-IPH-OPH-Renewal-20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ks-fee-iph-oph-renewal-20230101-20231231
Approval Date
Effective Date
State
Kansas
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

IL-Fee-IPH-OPH2-Amend-20220101-20221231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
il-fee-iph-oph2-amend-20220101-20221231
Approval Date
Effective Date
State
Illinois
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

IL-Fee-AMC-Renewal-20230101-20231231

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