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 | July 1, 2019 | |
| Ambulatory Surgical Center Fee Schedule for DOS | Excel | Oct. 1, 2019 | |
| 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 | Mar. 1, 2019 | |
| Durable Medical Equipment (DME), Orthotic, Prosthetic | Excel | July 1, 2019 | |
| Elderly & Disabled (E&D) Waiver | Oct. 1, 2018 | ||
| Hearing | Excel | July 1, 2015 | |
| Increased Primary Care Provider | Excel | July 1, 2019 | |
| 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 | July 1, 2019 | |
| Medical Supply Codes – Manually Priced | Excel | July 1, 2019 | |
| 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 | July 1, 2019 | |
| Prescribed Pediatric Extended Care (PPEC) | Jan. 1, 2020 | ||
| Physician Administered Drug | Excel | Oct. 1, 2019 | |
| 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 | July 1, 2019 | |
| 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 | July 1, 2019 |
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 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, 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 |
| 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, 2014 |
| Nursing Facilities (NF) |
2019 First Quarter 2019 Second Quarter 2019 Third Quarter 2019 Fourth 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.
