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Fee Schedules and Rates

 

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

 

Fee Schedules File Type File Type Effective Date
Ambulance PDF Excel Oct. 3, 2022
Ambulatory Surgical Centers Fee Schedule for DOS PDF Excel Oct. 3, 2022
Anesthesia Base Unit PDF Excel Oct. 3, 2022
Assisted Living (AL) Waiver PDF Excel July 1, 2021
Autism Spectrum Disorder (ASD) Services PDF Excel Oct. 3, 2022
Clinician Administered Drugs and Implantable Drug System Devices PDF July 1, 2018
Community Mental Health Services PDF Excel Oct. 3, 2022
Community Transition Services (CTS) PDF Excel July 1, 2021
Dental Fees – Professional Services PDF Excel Oct. 3, 2022
Durable Medical Equipment (DME), Orthotic, Prosthetic PDF Excel Oct. 3, 2022
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, 2022
Hearing PDF Excel Oct. 3, 2022
Increased Primary Care Provider PDF Excel July 1, 2022
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 Excel Jan. 1, 2019
Medical Supply PDF Excel Oct. 1, 2022
Medication Assisted Treatment for Opioid Treatment Services PDF Excel Oct. 3, 2022
Out-of-State Hospital Transplant Services’ Case Rates PDF Excel July 1, 2019
Outpatient Prospective Payment System (OPPS) Medicaid PDF Excel October 28, 2022
Pathology Laboratory PDF Excel Oct. 3, 2022
Prescribed Pediatric Extended Care (PPEC) PDF Excel Oct. 3, 2022
Physician Administered Drug PDF Excel Oct. 3, 2022
Post-Eligibility Treatment of Income Deductions by Institutionalized Individuals PDF July 1, 2019
Private Duty Nursing (PDN) Services PDF Excel Oct. 3, 2022
Psychiatry and Psychiatric Nurse Practitioners for Mental Health/Psychiatry Services PDF Excel Oct. 3,2022
Radiology PDF Excel Oct. 3, 2022
Therapeutic and Evaluative Mental Health Services for Expanded EPSDT (T&E) PDF Excel Oct. 3, 2022
Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Waiver PDF Excel July 1, 2021
Vision PDF Excel Oct. 3, 2022
Vaccine PDF Excel Oct. 3, 2022
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
Calendar Year 2022
Home Health Agency (HHA) Effective: Oct. 1, 2022
Hospice FY 2023 Rates by County Effective: Oct. 1, 2022
Hospice FY 2022 Rates by County Effective: Oct. 1, 2021
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
May 1, 2022 – December 31, 2022
Rural Health Clinics (RHC) Calendar Year 2021
Calendar Year 2022
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
May 1, 2022 – December 31, 2022
MS Dept. of Health Clinics July 1, 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
Oct. 1, 2022 – Dec. 31, 2022 NH Rates
May 1, 2022 – Sept 30, 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 30, 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 1, 2022 – June 30, 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.