Fee Schedules
A C D E F G H I L N O P R T U-Z
Fee schedules with an asterisk (*) denote rate floors. Rate floors are the established Medicaid Direct (fee-for-service) rate that PHPs are required to reimburse Medicaid providers (no less than 100 percent of the applicable Medicaid Direct rate), unless the PHP and provider mutually agree to an alternative reimbursement arrangement.
| Program | Last Updated |
|---|---|
| Adult Day Care | See Personal Care Services |
|
(Applies only to Public Ambulance Providers under Managed Care) |
Oct. 22, 2021 |
| Ambulance Services * | Dec. 17, 2021 |
| Ambulatory Surgical Centers | Dec. 21, 2021 |
| Anesthesiology Base Units | Jan. 22, 2022 |
| Community Alternatives Programs | Jan. 22, 2022 |
| Chiropractic Services | Jan. 1, 2022 |
| Clinical Pharmacist Practitioner | Jan. 22, 2022 |
| Dental |
Ambulatory Surgical Center - Dec. 22, 2021 |
| Dietary and Nutritional Services | Jan. 21, 2021 |
| Dialysis Services | Dec. 21, 2021 |
| Durable Medical Equipment * | Dec. 22, 2021 |
| Enhanced Mental Health Services | July 21, 2021 |
| Federally Qualified Health Centers * | Varies by fee schedule type |
| Freestanding Birth Center | Dec. 21, 2021 |
| Geropsychiatric | July 1, 2012 |
| Hearing Aid Program | Dec. 21, 2021 |
| HIV Case Management | Feb. 9, 2021 |
| Home Care | See Personal Care Services |
| Home Health Services | Dec. 30, 2021 |
| Home Infusion Therapy | Jan. 1, 2022 |
| Hospice * | Dec. 21, 2021 |
| Hospitals * | Varies by fee schedule type |
|
Hospital Outpatient Laboratory * (Applies only to Hospital Outpatient Laboratory Providers under Managed Care) |
Jan. 21, 2022 |
| Indian Tribal (I/T/U) Home Health * | Dec. 30, 2021 |
| Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) | July 1, 2012 |
| Laboratory | Jan. 21, 2022 |
| Local Education Agencies | Jan. 5, 2022 |
| Local Health Departments (LHDs) | Jan. 22, 2022 |
| Nurse Midwives | Jan. 22, 2022 |
| Nurse Practitioner and CRNA * | Jan. 22, 2022 |
| Nursing Facility Rates * | Jan. 1, 2022 |
| Other Behavioral Health Services | Varies by type |
| Optical Program | Jan. 1, 2022 |
| Optometry Services | Jan. 1, 2022 |
| Orthotic and Prosthetic Devices | Jan. 1, 2022 |
| Outpatient Specialized Therapies | Varies by practitioner type |
| Personal Care Services | Dec. 21, 2021 |
| Pharmacy * | Varies by type |
| Physician Assistant * | Jan. 22, 2022 |
| Physician Administered Drug Program | Jan. 22, 2022 |
| Physician Services * | Jan. 22, 2022 |
| Podiatry Services | Jan. 1, 2022 |
|
(Replaced by Pregnancy Management Program) |
July 13, 2021 |
| Private Duty Nursing | Dec. 22, 2021 |
| Psychiatric Reduction Percentage Payment Schedule | March 1, 2009 |
| Radiological/Imaging Services | Varies by practitioner type |
| Rural Health Clinic * | Varies by fee schedule type |
| Targeted Case Management | Feb. 9, 2021 |
| Vent Facility Rates | Dec. 20, 2021 |
Share this page: