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OH_Fee_Oth2_Amend2_20220101-20221231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
oh-fee-oth2-amend2-20220101-20221231
Approval Date
Effective Date
State
Ohio
Payment Type
Fee schedule
Provider Class
Other
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

OR_Fee_IPH.OPH3_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
or-fee-iph.oph3-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_OTH_Renewal_20230101-20231231

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

PA_Fee_IPH.OPH_New_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
pa-fee-iph.oph-new-20230101-20231231
Approval Date
Effective Date
State
Pennsylvania
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
New
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

PA_VBP_NF2_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
pa-vbp-nf2-renewal-20230101-20231231
Approval Date
Effective Date
State
Pennsylvania
Payment Type
Value-based payment
Provider Class
Nursing facility services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

PA_VBP_OPH_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
pa-vbp-oph-renewal-20230101-20231231
Approval Date
Effective Date
State
Pennsylvania
Payment Type
Value-based payment
Provider Class
Outpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

PR_Fee_SP.BHO_Renewal_20230101-20230930

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
PR_Fee_SP.BHO_Renewal_20230101-20230930
Approval Date
Effective Date
State
Puerto Rico
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
Specialty physician services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

PR_Fee_D_Renewal_20230101-20230930

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
pr-fee-d-renewal-20230101-20230930
Approval Date
Effective Date
State
Puerto Rico
Payment Type
Fee schedule
Provider Class
Dental services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

TN_VBP.Fee_AMC_Renewal_20230101-20231231

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