Click here to download the Comprehensive Fee Schedule.
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||January 2023|
Dental Professional Services
|Dental Fees – Professional Services||January 2023|
Hearing and Vision Services
|Audiological (Hearing)||January 2023|
Home and Community Based Services (HCBS) Waivers
|Assisted Living (AL) Waiver||July 2021|
|Community Transition Services (CTS)||July 2021|
|Elderly & Disabled (E&D) Waiver||July 2021|
|Independent Living (IL) Waiver||July 2021|
|Intellectual and Developmental Disabilities (ID/DD) Waiver||January 2023|
|Intellectual/Developmental Disabilities 1915(i) Community Support Program||January 2023|
|Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Waiver||July 2021|
|Out-of-State Hospital Transplant Services’ Case Rates||July 2019|
|Outpatient Prospective Payment System (OPPS) Medicaid||January 2023|
Laboratory and Radiology Services
|Pathology Laboratory||January 2023|
Medical Equipment and Supplies
|Durable Medical Equipment (DME), Orthotic, Prosthetic||March 2023|
|Medical Supply||February 2023|
Medical and Surgical Services
|Ambulatory Surgical Centers Fee Schedule for DOS||January 2023|
|Anesthesia Base Unit||January 2023|
|Extended Services for the Perinatal High-Risk Management and Infant Service System (PHRMISS)||July 2022|
|Medical and Surgical Services||January 2023|
|Prescribed Pediatric Extended Care (PPEC)||October 2022|
|Private Duty Nursing (PDN) Services||October 2022|
|Therapy Services||January 2023|
Mental Health Services
|Autism Spectrum Disorder (ASD) Services||January 2023|
|Community Mental Health Services||January 2023|
|Medication Assisted Treatment for Opioid Treatment Services||January 2023|
|Psychiatry and Psychiatric Nurse Practitioners for Mental Health/Psychiatry Services||January 2023|
|Therapeutic and Evaluative Mental Health Services for Expanded EPSDT (T&E)||January 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.