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VA_Fee_AMC_Amend_20210701-20220630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
va-fee-amc-amend-20210701-20220630
Approval Date
Effective Date
State
Virginia
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

TN_Fee_Oth1_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
tn-fee-oth1-renewal-20230101-20231231
Approval Date
Effective Date
State
Tennessee
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

TN_Fee_NF_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
tn-fee-nf-renewal-20230101-20231231
Approval Date
Effective Date
State
Tennessee
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

TN_Fee_IPH.OPH1_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
tn-fee-iph.oph1-renewal-20230101-20231231
Approval Date
Effective Date
State
Tennessee
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

PR_Fee_PC_Renewal_20230101-202300930

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
pr-fee-pc-renewal-20230101-202300930
Approval Date
Effective Date
State
Puerto Rico
Payment Type
Fee schedule
Provider Class
Primary care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

PR_Fee_IPH_Renewal_20230101-20230930

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
pr-fee-iph-renewal-20230101-202300930
Approval Date
Effective Date
State
Puerto Rico
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

OR_Fee_IPH.OPH2_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
or-fee-iph.oph2-renewal-20230101-20231231
Approval Date
Effective Date
State
Oregon
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

OR_Fee_IPH.OPH1_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
or-fee-iph.oph1-renewal-20230101-20231231
Approval Date
Effective Date
State
Oregon
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

NY_Fee_IPH.BHI_Amend_20210401-20220331

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ny-fee-iph.bhi-amend-20210401-20220331
Approval Date
Effective Date
State
New York
Payment Type
Fee schedule
Provider Class
Behavioral health inpatient service
Inpatient hospital service
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date
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