State Directed Payment definition

State Directed Payment means a payment made by Contractor to eligible Participating Providers pursuant to a State Directed Payment Arrangement.
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State Directed Payment means a Medicaid managed care delivery system and provider payment initiative authorized under 42 C.F.R. § 438.6(c).
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Examples of State Directed Payment in a sentence

  • Capitation Payments is amended by Schedule and State Directed Payment Requirements, EOHHS may require the MCO to adopt a minimum fee schedule for network providers, provide a uniform dollar or percentage increase for network providers or adopt a max fee schedule so long as MCO retains ability to reasonably manage risk.

  • Section 2.15.01.01 - Fee Schedule Increase, Adoption of Minimum/Maximum Fee Schedule and State Directed Payment Requirements is amended by DELETING the State Directed Payments table in its entirety and REPLACING with a new State Directed Payments table, as shown on the following page.

  • These 42 CFR§438.8(e)(2)(i)(A) + 31 Provider Payments Attributable to State Directed Payments ALL $ 112,192,423 $ 98,638,063 $ 114,714,507 $ 97,360,601 $ 422,905,595 $ - $ - $ 422,905,595 If the State Directed Payment process takesalmost a year or more, plans should use the Deduct 42 CFR§438.8(e)(2)(vi) - 32 Reinsurance Recoveries ALL 70105-01 $ (13,046,951) $ (11,184,219) $ (15,546,312) $ 5,656,715 $ (34,120,766) $ (25,316,212) $ - $ (59,436,978) Amount should negative number.