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WV_Fee_IPH.OPH.AMC_Renewal_20220701-20230630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
wv-fee-iph.oph.amc-renewal-20220701-20230630
Approval Date
Effective Date
State
West Virginia
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Outpatient hospital service
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

WI_Fee_HCBS7_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
wi-fee-hcbs7-renewal-20230101-20231231
Approval Date
Effective Date
State
Wisconsin
Payment Type
Fee schedule
Provider Class
HCBS/personal care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

WI_Fee_HCBS5_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
wi-fee-hcbs5-renewal-20230101-20231231
Approval Date
Effective Date
State
Wisconsin
Payment Type
Fee schedule
Provider Class
HCBS/personal care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

WI_Fee_HCBS4_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
wi-fee-hcbs4-renewal-20230101-20231231
Approval Date
Effective Date
State
Wisconsin
Payment Type
Fee schedule
Provider Class
HCBS/personal care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

WA_Fee_AMC_Renewal_20230101-20231231

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

WA_Fee_OTH2_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
wa-fee-oth2-renewal-20230101-20231231
Approval Date
Effective Date
State
Washington
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

WA_Fee_PC_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
wa-fee-pc-renewal-20230101-20231231
Approval Date
Effective Date
State
Washington
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

WA_Fee_OTH_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
wa-fee-oth-renewal-20230101-20231231
Approval Date
Effective Date
State
Washington
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_Oth3_Renewal_20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
pa-fee-oth3-renewal-20230101-20231231
Approval Date
Effective Date
State
Pennsylvania
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

VI-22-0004

This SPA provides the United States Virgin Islands with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
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