Font Size
-
+

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, 2017
Anesthesia Base Unit PDF Excel July 1, 2016
Ambulatory Surgical Center Fee Schedule for DOS PDF Excel Jan. 1, 2017
Billing Guidelines for Autism Spectrum Disorder (ASD) Services PDF Jan. 1, 2017
Billing Guidelines for Mississippi Youth Programs Around the Clock (MYPAC) PDF
Billing Guidelines for Psychiatry and Psychiatric Nurse Practitioners for Mental Health/Psychiatry Services PDF July 1, 2016
Billing Guidelines for Community/Private Mental Health Centers (CMHC/PMHC) PDF July 1, 2016
Therapeutic and Evaluative Mental Health Services for Expanded EPSDT (T&E) PDF July 1, 2016
Bridge to Independence PDF July 30, 2015
Dental Fees – Outpatient Hospital PDF Excel Jan. 1, 2017
Dental Fees – Professional Services PDF Excel Jan. 1, 2017
Durable Medical Equipment (DME), Orthotic, Prosthetic PDF Excel July 1, 2017
Early Periodic Screening, Diagnosis, and Treatment (EPSDT) PDF July, 1, 2009
Hearing PDF Excel July 1, 2015
Intellectual and Developmental Disabilities (ID/DD) waiver PDF July 1, 2016
Intellectual/Developmental Disabilities (1915i) Community Support Program PDF July 1, 2016
Increased Primary Care Provider PDF Excel July 1, 2017
Medical Supply PDF Excel July 1, 2017
Medical Supply Codes – Manually Priced PDF Excel January 1, 2017
Outpatient Prospective Payment System (OPPS) Medicaid PDF Excel July 1, 2016
Pathology Laboratory PDF Excel April 1, 2017
Physician Administered Drug PDF Excel July 1, 2017
Radiology PDF Excel Jan. 1, 2017
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 Calendar Year 2017
End-Stage Renal Disease bundled list Jan. 1, 2015
Jan. 1, 2016
Federally Qualified Health Center (FQHC) Calendar Year 2017
Home Health Effective: Oct. 1, 2015 – Sept. 30, 2016
Hospice FY 2017 Rates by County Effective: Oct. 1, 2016 (PDF)
Effective: Oct. 1, 2016 (Excel)
Hospice FY 2016 Rates by County Effective: Jan. 1, 2016 (PDF)
Hospice FY 2016 Rates by County Effective: Oct. 1, 2015
Psychiatric Residential Treatment Facilities (PRTF) Calendar Year 2016
Calendar Year 2017
Rural Health Clinics (RHC) Calendar Year 2017
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Calendar Year 2016
Calendar Year 2017
MS Dept. of Health Clinic July 1, 2011
Nursing Facilities 2016 Third Quarter
2016 Fourth Quarter
2017 First Quarter
2017 Second Quarter
2017 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 © 2008 American Dental Association. All rights reserved. Applicable FARS/DFARS Apply.

CPT only copyright 2014 American Medical Association. All rights reserved.