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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, 2019
Ambulatory Surgical Center Fee Schedule for DOS PDF Excel Oct. 1, 2018
Anesthesia Base Unit PDF Excel July 1, 2019
Assisted Living (AL) Waiver PDF Oct. 1, 2018
Autism Spectrum Disorder (ASD) Services PDF Jan. 1, 2019
Bridge to Independence PDF July 30, 2015
Clinician Administered Drugs and Implantable Drug System Devices PDF July 1, 2018
Community/Private Mental Health Centers (CMHC/PMHC) PDF July 1, 2019
Community Transition Services (CTS) PDF Jan. 1, 2018
Dental Fees – Professional Services PDF Excel Mar. 1, 2019
Durable Medical Equipment (DME), Orthotic, Prosthetic PDF Excel July 1, 2019
Elderly & Disabled (E&D) Waiver PDF Oct. 1, 2018
Hearing PDF Excel July 1, 2015
Increased Primary Care Provider PDF Excel July 1, 2019
Independent Living (IL) Waiver PDF Oct. 1, 2018
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, 2019
Medical Supply Codes – Manually Priced PDF Excel July 1, 2019
Mississippi Youth Programs Around the Clock (MYPAC) PDF
Out-of-State Hospital Transplant Services’ Case Rates PDF Excel July 1, 2019
Outpatient Prospective Payment System (OPPS) Medicaid PDF Excel July 1, 2019
Pathology Laboratory PDF Excel July 1, 2019
Physician Administered Drug PDF Excel July 1, 2019
Post-Eligibility Treatment of Income Deductions by Institutionalized Individuals PDF July 1, 2019
Psychiatry and Psychiatric Nurse Practitioners for Mental Health/Psychiatry Services PDF July 1, 2019
Radiology PDF Excel July 1, 2019
Therapeutic and Evaluative Mental Health Services for Expanded EPSDT (T&E) PDF July 1, 2019
Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Waiver PDF Oct. 1, 2018
Vision PDF Excel July 1, 2016

Prescribed Pediatric Extended Care

Code/Modifier Description of Service Maximum Fee
T1025 (code) Full day PPEC services
(over four hours, up to 12 hours per day)
$240 per day
T1026 (code) Partial day PPEC services
(four hours or less per day, billed in units of one hour)
$30 per hour
UC (modifier) Transportation provided by PPEC center $35 per day

 

Rates Effective Date
End-Stage Renal Disease (ESRD) Calendar Year 2019
End-Stage Renal Disease (ESRD) bundled list Jan. 1, 2018
Federally Qualified Health Center (FQHC) Calendar Year 2019
Home Health Agency (HHA) Effective: Oct. 1, 2018
Hospice FY 2019 Rates by County Effective: Oct. 1, 2018
Hospice FY 2018 Rates by County Effective: Oct. 1, 2017
Hospice FY 2017 Rates by County Effective: Oct. 1, 2016
Psychiatric Residential Treatment Facilities (PRTF) Calendar Year 2017
Calendar Year 2018
Calendar Year 2019
Rural Health Clinics (RHC) Calendar Year 2019
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Calendar Year 2017
Calendar Year 2018
Calendar Year 2019
MS Dept. of Health Clinics July 1, 2013
Nursing Facilities (NF) 2018 Fourth Quarter
2019 First Quarter
2019 Second Quarter
2019 Third Quarter

 

 Code descriptions on the various fee schedules available below are incomplete. Providers must use current CPT, HCPCS, CDT and ICD9 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 2018 American Medical Association. All rights reserved.