Click here to download the Comprehensive Fee Schedule.
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 | January 2023 |
Dental Professional Services
Dental Fees – Professional Services | January 2023 |
Hearing and Vision Services
Audiological (Hearing) | January 2023 |
Vision | January 2023 |
Home and Community Based Services (HCBS) Waivers
Assisted Living (AL) Waiver | July 2021 |
Community Transition Services (CTS) | July 2021 |
Elderly & Disabled (E&D) Waiver | July 2021 |
Independent Living (IL) Waiver | July 2021 |
Intellectual and Developmental Disabilities (ID/DD) Waiver | January 2023 |
Intellectual/Developmental Disabilities 1915(i) Community Support Program | January 2023 |
Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Waiver | July 2021 |
Hospital Services
Out-of-State Hospital Transplant Services’ Case Rates | July 2019 |
Outpatient Prospective Payment System (OPPS) Medicaid | January 2023 |
Laboratory and Radiology Services
Pathology Laboratory | January 2023 |
Radiology | January 2023 |
Medical Equipment and Supplies
Durable Medical Equipment (DME), Orthotic, Prosthetic | March 2023 |
Medical Supply | February 2023 |
Medical and Surgical Services
Ambulatory Surgical Centers Fee Schedule for DOS | January 2023 |
Anesthesia Base Unit | January 2023 |
Extended Services for the Perinatal High-Risk Management and Infant Service System (PHRMISS) | July 2022 |
Medical and Surgical Services | January 2023 |
Prescribed Pediatric Extended Care (PPEC) | October 2022 |
Private Duty Nursing (PDN) Services | October 2022 |
Therapy Services | January 2023 |
Vaccine | October 2022 |
Mental Health Services
Autism Spectrum Disorder (ASD) Services | January 2023 |
Community Mental Health Services | January 2023 |
Medication Assisted Treatment for Opioid Treatment Services | January 2023 |
Psychiatry and Psychiatric Nurse Practitioners for Mental Health/Psychiatry Services | January 2023 |
Therapeutic and Evaluative Mental Health Services for Expanded EPSDT (T&E) | January 2023 |
Transport Services
Ambulance | January 2023 |
Other Rates
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.