Directed Payments Program
The Centers for Medicare & Medicaid Services (CMS) instituted the final rule which modernized Medicaid managed care regulations. The result is changes in the usage of managed care delivery systems, CFR section 438.6 (c) provides State’s flexibility to implement delivery system and provider payment initiatives under Medicaid managed care plans (MCPs) contracts based on allowable directed payments that focus on delivery system reform.
Hospital Directed Payments
- Designated Public Hospital (DPH) Enhanced Payment Program (EPP)
- Private Hospital Directed Payment Program
- DPH Quality Incentive Pool (QIP)
- DMPH Quality Incentive Pool (QIP)
- DHDP
- Major Organ Transplant
Proposition 56 Directed Payments
LTC Directed Payments
Other Directed Payments
- Adverse Childhood Experience
- Developmental Screening
- CalAIM Dental Directed Payment
- Children and Youth Behavioral Health Initiative (CYBHI)
- Targeted Provider Rate Increases
- Equity and Practice Transformation Payments Program