Fee Schedules

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Fee schedules with an asterisk (*) denoate rate floors. Rate floors are the established Medicaid fee-for-service rate that PHPs are required to reimburse Medicaid providers (no less than 100 percent of the applicable Medicaid fee-for-service rate), unless the PHP and provider mutually agree to an alternative reimbursement arrangement. 


Program Last Updated
Adult Day Care See Personal Care Services

Ambulance Provider *

(Applies only to Public Ambulance Providers under Managed Care)

March 31, 2021
Ambulance Services * Feb. 25, 2020
Ambulatory Surgical Centers Dec. 21. 2020
Anesthesiology Base Units March 1, 2020
Community Alternatives Programs June 1, 2020
Chiropractic Services Sept. 17, 2020
Clinical Pharmacist Practitioner Feb. 3, 2021
Dental

Ambulatory Surgical Center - June 15, 2020
Federally Qualified Health Center - Jan. 14, 2021
General - April 19, 2021
Rural Health Center - Jan. 14, 2021

Dietary and Nutritional Services Jan. 21, 2021
Dialysis Services May 13, 2020
Durable Medical Equipment * June 25, 2020
Enhanced Mental Health Services Oct. 11, 2019
Federally Qualified Health Centers * Feb. 11, 2021
Freestanding Birth Center May 13, 2020
Geropsychiatric July 1, 2012
Hearing Aid Program July 14, 2020
HIV Case Management Feb. 9, 2021
Home Care See Personal Care Services
Home Health Services November, 2020
Home Infusion Therapy June 10, 2020
Hospice * Oct 1, 2020
Hospitals * Varies by fee schedule type
Indian Tribal (I/T/U) Home Health * November, 2020
Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) July 1, 2012
Laboratory Jan. 6, 2021
Local Education Agencies June 8, 2020
Nurse Midwives March 23, 2021
Nurse Practitioner and CRNA * March 23, 2021
Nursing Facility Rates * April 7, 2021
Other Behavioral Health Services Varies by type
Optical Program April 22, 2020
Optometry Services Jan. 14, 2021
Orthotic and Prosthetic Devices March 4, 2021
Out-Patient Specialized Therapies Varies by practitioner type
Personal Care Services April 1, 2020
Pharmacy * Varies by type
Physician Assistant * March 23, 2021
Physician Administered Drug Program April 15, 2021
Physician Services * March 23, 2021
Podiatry Services Jan. 14, 2021
Pregnancy Medical Home Sept. 21, 2020
Private Duty Nursing March 30, 2020
Psychiatric Reduction Percentage Payment Schedule March 1, 2009
Radiological/Imaging Services Varies by practitioner type
Rural Health Clinic * Feb. 11, 2021
Targeted Case Management June 2, 2020
Vent Facility Rates March 1, 2020