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Fee Schedules and Rates

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

Rates Effective Date
Post-Eligibility Treatment of Income Deductions by Institutionalized Individuals July 2019
End-Stage Renal Disease (ESRD) Calendar Year 2021
End-Stage Renal Disease (ESRD) bundled list January 2018
January 2020
Federally Qualified Health Center (FQHC) Calendar Year 2021
Calendar Year 2022
Calendar Year 2023
Home Health Agency (HHA) Effective: October 2022
Hospice FY 2023 Rates by County Effective: October 2022
Hospice FY 2022 Rates by County Effective: October 2021
Hospice FY 2021 Rates by County Effective: October 2020
Hospice FY 2020 Rates by County Effective: October 2019
Hospice FY 2019 Rates by County Effective: October 2018
Hospice FY 2018 Rates by County Effective: October 2017
Psychiatric Residential Treatment Facilities (PRTF) Calendar Year 2017
Calendar Year 2018
Calendar Year 2019
Calendar Year 2020
Calendar Year 2021 – June 2024
May 2022 – December 2022
Calendar Year 2023
Rural Health Clinics (RHC) Calendar Year 2021
Calendar Year 2022
Calendar Year 2023
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Calendar Year 2017
Calendar Year 2018
Calendar Year 2019
Calendar Year 2020
Calendar Year 2021 – June 2024
May 2022 – December 2022
Calendar Year 2023
MS Dept. of Health Clinics July 2021
Nursing Facilities (NF) 2022 Cost Report – New Bed Value
2022 Cost Report – Allowable Board of Directors for LTCF
2022 Cost Report – Owners & Officers Salaries
January 2023 – March 2023 NH Rates
October 2022 – December 2022 NH Rates
May 2022 – September 2022 NH Rates
2021 Cost Report – New Bed Value
2021 Cost Report – Allowable Board of Directors for LTCF
2021 Cost Report – Owners & Officers Salaries
Calendar Year 2021 – June 2024 NH Rates
Calendar Year 2020 NH Rates
2020 Cost Report – New Bed Value
2020 Cost Report – Allowable Board of Directors for LTCF
2020 Cost Report – Owners & Officers Salaries
2019 Cost Report – New Bed Values
2019 Cost Report – Owners & Officers Salaries
2019 Cost Report – Allowable Board of Directors for LTCF
2018 Cost Report – New Bed Value
2018 Cost Report – Allowable Board of Directors for LTCF
2018 Cost Report – Owners & Officers Salaries
2017 Cost Report – New Bed Value
2017 Cost Report – Allowable Board of Directors for LTCF
2017 Cost Report – Owners & Officers Salaries
Swing Bed FY 2022 Rates July 2022 – June 2023

 

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.