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Fee Schedules and Rates

 

Below are the fee schedules and rates listed by codes for particular provider or facility types.

Envision

Fee Schedules File Type File Type Effective Date
Ambulance PDF Excel July 1, 2021
Ambulatory Surgical Center Fee Schedule for DOS PDF Excel July 1, 2021
Anesthesia Base Unit PDF Excel July 1, 2021
Assisted Living (AL) Waiver PDF Excel July 1, 2021
Autism Spectrum Disorder (ASD) Services PDF Excel July 1, 2021
Clinician Administered Drugs and Implantable Drug System Devices PDF July 1, 2018
Community Mental Health Services PDF Excel July 1, 2021
Community Transition Services (CTS) PDF Excel July 1, 2021
Dental Fees – Professional Services PDF Excel July 1, 2021
Durable Medical Equipment (DME), Orthotic, Prosthetic PDF Excel July 1, 2021
Elderly & Disabled (E&D) Waiver PDF Excel July 1, 2021
Extended Services for the Perinatal High Risk Management and Infant Service System (PHRMISS) PDF Excel July 1, 2021
Hearing PDF Excel July 1, 2021
Increased Primary Care Provider PDF Excel July 1, 2021
Independent Living (IL) Waiver PDF Excel July 1, 2021
Intellectual and Developmental Disabilities (ID/DD) Waiver PDF July 1, 2018
Intellectual/Developmental Disabilities 1915(i) Community Support Program PDF Jan. 1, 2019
Medical Supply PDF Excel July 1, 2021
Medication Assisted Treatment for Opioid Treatment Services PDF Excel April 1, 2021
Out-of-State Hospital Transplant Services’ Case Rates PDF Excel July 1, 2019
Outpatient Prospective Payment System (OPPS) Medicaid PDF Excel July 1, 2021
Pathology Laboratory PDF Excel July 1, 2021
Prescribed Pediatric Extended Care (PPEC) PDF Excel July 1, 2021
Physician Administered Drug PDF Excel July 1, 2021
Post-Eligibility Treatment of Income Deductions by Institutionalized Individuals PDF July 1, 2019
Private Duty Nursing (PDN) Services PDF Excel July 1, 2021
Psychiatry and Psychiatric Nurse Practitioners for Mental Health/Psychiatry Services PDF Excel July 1, 2021
Radiology PDF Excel July 1, 2021
Therapeutic and Evaluative Mental Health Services for Expanded EPSDT (T&E) PDF Excel July 1, 2021
Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Waiver PDF Excel July 1, 2021
Vision PDF Excel July 1, 2021
Vaccine PDF Excel July 1, 2021
Rates Effective Date
End-Stage Renal Disease (ESRD) Calendar Year 2021
End-Stage Renal Disease (ESRD) bundled list Jan. 1, 2018
Jan. 1, 2020
Federally Qualified Health Center (FQHC) Calendar Year 2021
Home Health Agency (HHA) Effective: Oct. 1, 2020
Hospice FY 2021 Rates by County Effective: Oct. 1, 2020
Hospice FY 2020 Rates by County Effective: Oct. 1, 2019
Hospice FY 2019 Rates by County Effective: Oct. 1, 2018
Hospice FY 2018 Rates by County Effective: Oct. 1, 2017
Psychiatric Residential Treatment Facilities (PRTF) Calendar Year 2017
Calendar Year 2018
Calendar Year 2019
Calendar Year 2020
Calendar Year 2021 – June 30, 2024
Rural Health Clinics (RHC) Calendar Year 2021
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 30, 2024
MS Dept. of Health Clinics July 1, 2021
Nursing Facilities (NF) Calendar Year 2021 – June 30, 2024 NH Rates
Calendar Year 2020 NH Rates
2019 Cost Report – New Bed Values
2019 Cost Report – Owner Salary and Limits
2019 Cost Report – Allowable Board of Directors for LTCF
2020 Cost Report – Allowable Board of Directors for LTCF
2020 Cost Report – Owner Salary Limits

 

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.