国会预算办公室：2025年医疗补助国家定向支付：CBO模型的更新报告（英文版）

State-directed payments (SDPs) are payments that states direct to specific providers through Medicaid managed care organizations. – SDPs are similar to fee-for-service supplemental payments (for example, disproportionate share or upper payment limit payments). ▪ States finance most SDPs through provider taxes and intergovernmental transfers.1 – Both are permissible forms of Medicaid financing under statute and shift the financing burden from states to the federal government and providers.