Click here to download the Comprehensive Fee Schedule.
Click here to go to the Interactive Fee Schedule on the Provider Portal.
Below are the fee schedules and rates listed by codes for particular provider or facility types.
Administered Drug Services
Clinician Administered Drugs and Implantable Drug System Devices | July 2018 |
Physician Administered Drugs | October 2024 |
Dental Professional Services
Dental Fees – Professional Services | October 2024 |
Hearing and Vision Services
Audiological (Hearing) | October 2024 |
Vision | April 2024 |
Home and Community Based Services (HCBS) Waivers
Assisted Living (AL) Waiver | July 2023 |
Community Transition Services (CTS) | October 2024 |
Elderly & Disabled (E&D) Waiver | October 2024 |
Independent Living (IL) Waiver | July 2023 |
Intellectual and Developmental Disabilities (ID/DD) Waiver | July 2023 |
Intellectual/Developmental Disabilities 1915(i) Community Support Program | November 2023 |
Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Waiver | July 2023 |
Hospital Services
Out-of-State Hospital Transplant Services’ Case Rates | July 2019 |
Outpatient Prospective Payment System (OPPS) | October 2024 |
Laboratory and Radiology Services
Pathology Laboratory | October 2024 |
Radiology | October 2024 |
Medical Equipment and Supplies
Durable Medical Equipment (DME), Orthotic, Prosthetic | October 2024 |
Medical Supply | October 2024 |
Medical and Surgical Services
Ambulatory Surgical Centers Fee Schedule for DOS | October 2024 |
Anesthesia Base Unit | April 2023 |
Medical and Surgical Services | October 2024 |
Prescribed Pediatric Extended Care (PPEC) | April 2023 |
Private Duty Nursing (PDN) Services | April 2024 |
Therapy Services | October 2024 |
Vaccine | October 2024 |
Mental Health Services
Autism Spectrum Disorder (ASD) Services | November 2024 |
Medication Assisted Treatment for Opioid Treatment Services | November 2024 |
Behavioral Health Services | October 2024 |
Transport Services
Ambulance | January 2024 |
Other Rates
Clinic Reimbursement
Long-Term Care Reimbursement
Nursing Facilities (NF)
July 1, 2024 – September 30, 2024 NH Rates
April 1, 2024 – June 30, 2024 NH Rates
January 1, 2024 – March 31, 2024 NH Rates
October 2023 – December 2023 NH Rates
July 1, 2023-September 30, 2023 NH Rates
April 2023 – June 2023 NH Rates
January 2023 – March 2023 NH Rates
October 1, 2022 – December 31, 2022 NH Rates
May 1, 2022 – September 30, 2022 NH Rates
Calendar Year 2021 – June 2024 NH Rates
Calendar Year 2020 NH Rates
2025 Cost Report – New Bed Value
2024 Cost Report – New Bed Value
2023 Cost Report – New Bed Value
2022 Cost Report – New Bed Value
2021 Cost Report – New Bed Value
2020 Cost Report – New Bed Value
2019 Cost Report – New Bed Value
2018 Cost Report – New Bed Value
2017 Cost Report – New Bed Value
2024 Cost Report – Owners & Officers Salaries
2024 Cost Report – Allowable Board of Directors for LTCF
2023 Cost Report – Owners & Officers Salaries
2023 Cost Report – Allowable Board of Directors for LTCF
2022 Cost Report – Owners & Officers Salaries
2022 Cost Report – Allowable Board of Directors for LTCF
2021 Cost Report – Owners & Officers Salaries
2021 Cost Report – Allowable Board of Directors for LTCF
2020 Cost Report – Owners & Officers Salaries
2020 Cost Report – Allowable Board of Directors for LTCF
2019 Cost Report – Owners & Officers Salaries
2019 Cost Report – Allowable Board of Directors for LTCF
2018 Cost Report – Owners & Officers Salaries
2018 Cost Report – Allowable Board of Directors for LTCF
2017 Cost Report – Owners & Officers Salaries
2017 Cost Report – Allowable Board of Directors for LTCF
Hospice Rates by County
FY 2024 – Effective: October 2023
FY 2023 – Effective: October 2022
FY 2022 – Effective: October 2021
FY 2021 – Effective: October 2020
FY 2020 – Effective: October 2019
FY 2019 – Effective: October 2018
FY 2018 – Effective: October 2017
Providers must use current CPT, HCPCS, CDT and ICD10 books for correct coding.
Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained therein) is copyright © 2018 American Dental Association. All rights reserved. Applicable FARS/DFARS Apply.
CPT only copyright 2019 American Medical Association. All rights reserved.