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