Below are the fee schedules and rates listed by codes for particular provider or facility types.
Envision
- Envision fee schedules and rates – on the Envision web portal
- Envision fee schedules – downloadable
- Envision fee schedules – interactive, look up a procedure code and date of service
| Fee Schedules | File Type | File Type | Effective Date |
|---|---|---|---|
| Ambulance | Excel | Jan. 1, 2020 | |
| Ambulatory Surgical Center Fee Schedule for DOS | Excel | Jan. 1, 2020 | |
| Anesthesia Base Unit | Excel | July 1, 2019 | |
| Assisted Living (AL) Waiver | Oct. 1, 2018 | ||
| Autism Spectrum Disorder (ASD) Services | Jan. 1, 2019 | ||
| Bridge to Independence | July 30, 2015 | ||
| Clinician Administered Drugs and Implantable Drug System Devices | July 1, 2018 | ||
| Community/Private Mental Health Centers (CMHC/PMHC) | July 1, 2019 | ||
| Community Transition Services (CTS) | Jan. 1, 2018 | ||
| Dental Fees – Professional Services | Excel | Jan. 1, 2020 | |
| Durable Medical Equipment (DME), Orthotic, Prosthetic | Excel | Jan. 1, 2020 | |
| Proposed: Durable Medical Equipment (DME), Orthotic, Prosthetic | Excel | March 1, 2020 | |
| Elderly & Disabled (E&D) Waiver | Oct. 1, 2018 | ||
| Hearing | Excel | Jan. 1, 2020 | |
| Increased Primary Care Provider | Excel | Jan. 1, 2020 | |
| Independent Living (IL) Waiver | Oct. 1, 2018 | ||
| Intellectual and Developmental Disabilities (ID/DD) Waiver | July 1, 2018 | ||
| Intellectual/Developmental Disabilities 1915(i) Community Support Program | Jan. 1, 2019 | ||
| Medical Supply | Excel | Jan. 1, 2020 | |
| Medical Supply Codes – Manually Priced | Excel | Jan. 1, 2020 | |
| Mississippi Youth Programs Around the Clock (MYPAC) | |||
| Out-of-State Hospital Transplant Services’ Case Rates | Excel | July 1, 2019 | |
| Outpatient Prospective Payment System (OPPS) Medicaid | Excel | July 1, 2019 | |
| Pathology Laboratory | Excel | Jan. 1, 2020 | |
| Prescribed Pediatric Extended Care (PPEC) | Jan. 1, 2020 | ||
| Physician Administered Drug | Excel | Jan. 1, 2020 | |
| Post-Eligibility Treatment of Income Deductions by Institutionalized Individuals | July 1, 2019 | ||
| Private Duty Nursing (PDN) Services | Oct. 1, 2019 | ||
| Psychiatry and Psychiatric Nurse Practitioners for Mental Health/Psychiatry Services | July 1, 2019 | ||
| Radiology | Excel | Jan. 1, 2020 | |
| Therapeutic and Evaluative Mental Health Services for Expanded EPSDT (T&E) | July 1, 2019 | ||
| Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Waiver | Oct. 1, 2018 | ||
| Vision | Excel | Jan. 1, 2020 |
Prescribed Pediatric Extended Care
Effective Jan. 1, 2020 these rates will no longer be in effect. See above chart for updated Prescribed Pediatric Extended Care (PPEC) rates.
| 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 2020 |
| End-Stage Renal Disease (ESRD) bundled list | Jan. 1, 2018 Jan. 1, 2020 |
| Federally Qualified Health Center (FQHC) | Calendar Year 2020 |
| Home Health Agency (HHA) | Effective: Oct. 1, 2019 |
| 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 |
| Rural Health Clinics (RHC) | Calendar Year 2020 |
| Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) | Calendar Year 2017 Calendar Year 2018 Calendar Year 2019 Calendar Year 2020 |
| MS Dept. of Health Clinics | July 1, 2014 |
| Nursing Facilities (NF) |
2019 First Quarter 2019 Second Quarter 2019 Third Quarter 2019 Fourth Quarter 2020 First Quarter 2019 Cost Report – New Bed Values 2019 Cost Report – Owner Salary and Limits 2019 Cost Report – Allowable Board of Directors for LTCF |
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.
