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AZ_VBP_PC_Renewal_20211001-20220930

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
az-vbp-pc-renewal-20211001-20220930
Approval Date
Effective Date
State
Arizona
Payment Type
Value-based payment
Provider Class
Primary care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

AZ_VBP_IP_Renewal_20211001-20220930

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
az-vbp-ip-renewal-20211001-20220930
Approval Date
Effective Date
State
Arizona
Payment Type
Value-based payment
Provider Class
Inpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

AZ_VBP_PC.BHO_Renewal_20211001-20220930

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
az-vbp-pc.bho-renewal-20211001-20220930
Approval Date
Effective Date
Payment Type
Value-based payment
Provider Class
Behavioral health outpatient services
Primary care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

AZ_Fee_IP.OP.PC.SP.NF.HCBS.BHI.BHO.D_Renewal_20211001-20220930

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
az-fee-ip.op.pc.sp.nf.hcbs.bhi.bho.d-renewal-20221001-20230930
Approval Date
Effective Date
State
Arizona
Payment Type
Fee schedule
Provider Class
Behavioral health inpatient service
Behavioral health outpatient services
Dental services
HCBS/personal care services
Inpatient hospital service
Nursing facility services
Outpatient hospital service
Primary care services
Specialty physician services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

HI_Fee_PC.SP.Oth_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
hi-fee-pc.sp.oth-renewal-20230101-20231231
Approval Date
Effective Date
State
Hawaii
Payment Type
Fee schedule
Provider Class
Other
Primary care services
Specialty physician services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

IL_VBP_PC_Renewal_20230101-20241231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
il-vbp-pc-renewal-20230101-20241231
Approval Date
Effective Date
State
Illinois
Payment Type
Value-based payment
Provider Class
Primary care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Multiple Rating Period
State Rating Period End Date

KY_Fee.VBP_IPH.OPH.AMC_Amend_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ky-fee.vbp-iph.oph.amc-amend-20230101-20231231
Approval Date
Effective Date
State
Kentucky
Payment Type
Fee schedule
Value-based payment
Provider Class
Inpatient hospital service
Outpatient hospital service
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

KY_Fee.VBP_IPH.OPH_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ky-fee.vbp-iph.oph-renewal-20230101-20231231
Approval Date
Effective Date
State
Kentucky
Payment Type
Fee schedule
Value-based payment
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

MA_VBP_IPH.OPH2_Renewal_20220101-20221231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ma-vbp-iph.oph2-renewal-20220101-20221231
Approval Date
Effective Date
State
Massachusetts
Payment Type
Value-based payment
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

MA_VBP_IPH.OPH3_Renewal_20220101-20221231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ma-vbp-iph.oph3-renewal-20220101-20221231
Approval Date
Effective Date
State
Massachusetts
Payment Type
Value-based payment
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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