Medical Assistance Outpatient Fee Schedule

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MA Fee Schedule - Department of Human Services

Details: MA Fee Schedules Search the Outpatient and Dental Fee Schedule Database Downloadable MA Program Outpatient Fee schedule - The PROMISe™ Outpatient Fee Schedule is available for download in the following formats: Excel, PDF, and Comma Delimited. maryland medical assistance fee schedule

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› Url: https://www.dhs.pa.gov/providers/Providers/Pages/Health%20Care%20for%20Providers/MA-Fee-Schedule.aspx Go Now

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Outpatient Fee Schedules - humanservices.state.pa.us

Details: Large fee schedules may take several minutes to display. If you notice inconsistencies or inaccuracies within the Medical Assistance Outpatient Online Fee Schedule tool such as incorrect modifiers with procedure codes, incorrect pricing segments, and omitted procedure codes, the issue could be caused by a wildcard feature used at one time minnesota medicaid fee schedule 2021

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› Url: https://www.humanservices.state.pa.us/OUTPATIENTFEESCHEDULE/Search Go Now

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Medical Fee Schedules Inpatient & Outpatient Fee Schedule

Details: Inpatient & Outpatient Fee Schedule. Medical Fee Schedules. If you have any questions regarding the information contained in the links below, please contact the Medical Director's Office at (800) 781-2362 or email [email protected]ny.gov. pennsylvania medicaid fee schedule 2021

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› Url: http://www.wcb.ny.gov/content/main/hcpp/MedFeeSchedules/medfee.jsp Go Now

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The Promise Outpatient Fee Schedule is Online

Details: Outpatient Fee Schedule can be found on the Fee Schedules page of the DHS Web Thank You for your service to our Medical Assistance recipients. We value your participation. Visit the DHS website often at: www.dhs.pa.gov . BFFS 3/09 . MA 548 01/11 . Title: Provider Quick tips 35 pa medical assistance fee schedule

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1995 Outpatient Hospital Rate Schedule - STATE OF NEW YORK

Details: OUTPATIENT HOSPITAL RATE SCHEDULE Effective 7/1/95 - 6/30/96 the total fee is the fee for physician services as indicated in the Schedule of Medical Fees plus the fee for use of the Emergency Service Room as shown in this Schedule. When the care is provided by an attending physician, the hospital fee is the Emergency Service medical assistance fee schedule 2020

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› Url: http://www.wcb.ny.gov/content/main/hcpp/MedFeeSchedules/1995_Outpatient_Hospital_Rate_Schedule.pdf Go Now

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Indiana Medicaid: Providers: IHCP Fee Schedules

Details: This fee schedule reflects current IHCP coverage and reimbursement policy for procedure codes and revenue codes billed for IHCP outpatient services under the FFS delivery system. It is posted as a Microsoft Excel document, so providers can search and sort as needed. The Outpatient Fee Schedule is updated monthly to reflect any change in policies. dhs fee schedule

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› Url: http://www.in.gov/medicaid/providers/business-transactions/billing-and-remittance/ihcp-fee-schedules/ Go Now

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NJDOBI - Fee Schedules

Details: Dental Fee Schedule. Exhibit2 Final EO2 Version. Private Nursing Care (per hour) Exhibit3 Final EO2 Version. Ambulance Services Fee Schedule. Exhibit4 Final EO2 Version. Durable Medical Equipment, Prosthetics, Orthotics Supplies. Exhibit5 Final EO2 Version. Hospital Outpatient Surgical Facility. minnesota dhs fee schedule

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› Url: https://www.state.nj.us/dobi/division_insurance/medfees/feeschedules.html Go Now

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Provider Payment Rates: Community Health Care …

Details: 101 CMR 347.00: Rates for Freestanding Ambulatory Surgery Center Services. 101 CMR 348.00: Day Habilitation Program Services. 101 CMR 349.00: Rates for Early Intervention Program Services. 101 CMR 350.00: Rates for Home Health Services. 101 CMR 351.00: Rates of Payment for Certain Adult Foster Care Services.

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› Url: https://www.mass.gov/lists/provider-payment-rates-community-health-care-providers-ambulatory-care Go Now

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Medi-Cal: Medi-Cal Rates

Details: For current rates, use the links above to access the current Medi-Cal rate table. Durable Medical Equipment Oxygen and Respiratory Temporary COVID-19 Rate Updates, effective March 1, 2020 and January 1, 2021, as applicable. Radiology Rates, effective January 1, 2019, updated in accordance with State Plan Amendment 19-0003.

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NEW YORK STATE LABORATORY FEE SCHEDULE

Details: Laboratory Fee Schedule Version 2006-1 (6/1/06) Page 4 of 37 8. For purposes of reimbursement, codes 86850-86905 represent examples of procedures considered to be integral parts of outpatient transfusion and hemodialysis services. No separate reimbursement will be allowed. 9.

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Home - Department of Medical Assistance Services

Details: View the latest from the Department of Medical Assistance Services. 08.26.2021 - Virginia Medicaid Launches New Appeals Portal. 08.17.2021 - 12-Month Supply of Contraceptives Now Available to Virginia Medicaid Members. 08.03.2021 - Report Highlights Role of Medicaid Expansion in Access to Addiction Treatment

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Rule 59G-4.002, Provider Reimbursement Schedules and

Details: Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes. Fee Schedule. Effective Date. Ambulatory Surgical Center Services Fee Schedule. Promulgated Fee Schedule 1/1/2020. Promulgated XLS 1/1/2020. Updated Fee Schedule 2021. Updated XLS 2021. Assistive Care Services Fee Schedule.

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› Url: http://www.ahca.myflorida.com/Medicaid/review/Fee_Schedules.shtml Go Now

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Medical Assistance Programs Fee Schedule Legend

Details: Procedure Price Amount: This field contains the established Medical Assistance (MA) Program fee for the service. For procedures which indicate $0 in the procedure price amount field, please contact the appropriate program office for specific fee information. Return to Outpatient Fee Schedule.

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› Url: https://www.humanservices.state.pa.us/OUTPATIENTFEESCHEDULE/Legend/Legend Go Now

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Fee Schedules - General Information CMS

Details: A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical

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Provider Fee Schedules: Medicaid Provider Information

Details: Medicaid Basic Fee Schedule (includes but is not limited to: Physicians, lab and x-rays, chiropractic, dental (child & adult), ambulance services, audiology, speech, physical, and occupational therapies, podiatry, and vision services). The Durable Medical Equipment (DME) fee schedule is published separately from the Medicaid Basic Fee Schedule.

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Provider Bulletin - UCare

Details: Effective Jan. 1, 2021, the UCare MHCP Outpatient Fee Schedule will be updated twice per year (January and July MHCP files). The fee schedule was previously updated on an annual basis. This change will promote more consistency within UCare’s fee schedule update process, allowing providers to know when to watch for updates.

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› Url: https://docs.ucare.org/filer_public/files/bulletin_2020_dec15_feescheduleupdates.pdf Go Now

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MEDICAL ASSISTANCE BULLETIN

Details: 1. To inform enrolled mental health providers that specific outpatient mental health services were added to the Medical Assistance (MA) Fee Schedule effective January 1, 1994, for children under 21 years of age. 2. To update the MA Fee Schedule to include these services. SCOPE:

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› Url: https://pa.performcare.org/assets/pdf/providers/resources-information/policies/dhs-1994-2000/011194-outpatient-psych-children-under-21.pdf Go Now

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CHAPTER 1223. OUTPATIENT DRUG AND ALCOHOL CLINIC …

Details: Drug/alcohol outpatient clinic services—Outpatient medical services listed in the Medical Assistance program fee schedule furnished to an outpatient while the patient is not a resident of a treatment institution, provided by or under the supervision of a physician in a facility organized and operated to provide medical care to outpatients.

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Fee Schedules - Arkansas Department of Human Services

Details: The following fee schedules are available for providers. Run Date. Fee Schedule. 3/6/20. Adult Behavioral Health Services for Community Independence. 1/1/21. Adult Developmental Day Treatment. 1/3/19. 2016 Ambulatory Surgical Center.

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Fee Schedules - Wisconsin

Details: Fee Schedules. Maximum allowable fee information is available on the ForwardHealth Portal in the following forms:. Interactive fee schedule; Downloadable fee schedule in TXT files; Certain fee schedules are interactive. Interactive fee schedules provide coverage information as well as maximum allowable fees for all reimbursable procedure codes.

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› Url: https://www.forwardhealth.wi.gov/WIPortal/Subsystem/KW/Print.aspx?ia=1&p=1&sa=50&s=5&c=30&nt=Fee+Schedules Go Now

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Rate Setting - dmas.virginia.gov

Details: Department of Medical Assistance Services (DMAS) Rate Setting Information Medicaid Reimbursement Graduate Medical Education (GME) Funding Opportunity Other Fee-For-Service (FFS) Outpatient Rehab Agencies Home and Community Based Services (HCBS) Inpatient Hospital Rates (ACUTE, Psych, Rehab) And GME, IME, DSH LUMP SUM Reimbursement Outpatient Facility Rates (Hospital, …

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Fee Schedules SC DHHS

Details: Outpatient Hospital Fee Schedule. Outpatient Hospital Fee Schedule.xlsx . Ambulatory Surgery Fee Schedule. Ambulatory Surgery Fee Schedule.xlsx . DME Fee Schedule. If your primary language is not English, language assistance services are available to you, free of charge. Call: 1-888-549-0820 (TTY: 1-888-842-3620).

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Medicaid Covered Outpatient Prescription Drug

Details: The professional dispensing fee for prescribed over-the-counter drugs that are not “covered outpatient drugs” is $3.65. The dispensing fee is prorated based on the percent of the package dispensed when the pharmacy dispenses a quantity less than the manufacturer’s package size. Yes. Mississippi. Ingredient cost is lesser of: NADAC, or

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› Url: https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/medicaid-covered-outpatient-prescription-drug-reimbursement-information-state/index.html Go Now

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Durable Medical Equipment, Prosthetics/Orthotics

Details: Medicare payment for durable medical equipment (DME), prosthetics and orthotics (P&O), parenteral and enteral nutrition (PEN), surgical dressings, and therapeutic shoes and inserts is equal to 80 percent of the lower of either the actual charge for the item or the fee schedule amount calculated for the item, less any unmet deductible.

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› Url: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/DMEPOSFeeSched Go Now

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STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT

Details: MEDICAL ASSISTANCE PROGRAM Page 1a State of Mississippi TN No. 2012-001 Date Received: 06-15-12 Supercedes Date Approved: 09-12-12 Outpatient hospital services will be reimbursed on a predetermined fee-for-service basis. The MS Medicaid OPPS fee schedule is set and updated each year as of July 1 and is effective

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Alaska Medical Assistance Health Enterprise Portal

Details: You should contact CPT Intellectual Property Services, American Medical Association, 515 N. State Street, Chicago, Illinois 60610 or at telephone number 312-464-5022 or at facsimile number 312-464-5131, should you wish to make additional uses of CPT.

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› Url: http://manuals.medicaidalaska.com/medicaidalaska/providers/FeeSchedule.asp Go Now

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Medicaid Reimbursement HFS

Details: View up to date information on how Illinois is handling the Coronavirus Disease 2019 (COVID-19) from the State of Illinois Coronavirus Response Site. Stay informed with important HFS Coronavirus 2019 (COVID-19) Updates

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› Url: https://www2.illinois.gov/hfs/MedicalProviders/MedicaidReimbursement/Pages/default.aspx Go Now

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Wisconsin Medicaid Maximum Allowable Fee Schedule for

Details: The preceding information is intended to help providers understand the Wisconsin Medicaid fee schedule. For questions about the fee schedule, providers should contact Provider Services at (800) 947-9627. For questions about rates, providers should contact the DHCF by writing to the following address: Policy Analyst Division of Health Care Financing

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TO: Interested Persons and Providers FROM: Elizabeth

Details: Outpatient Behavioral Health Services . The fee schedule was set as of July 1, 2017 and is effective for services on or after this date. Rates for services provided under the Residential Community Reintegration Program are effective for dates of service on or after Octobe r 1, 2017 .

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WV Medicaid Physician's Fee Schedules

Details: Fee Schedule Updates. The following fee schedules will now be effective April 1st through March 31st starting in calendar year (CY) 2019: Physician's (RBRVS) Fee Schedule. Clinical Lab Fee Schedule. Ambulatory Surgical Centers.

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MD WCC Medical Fee Guide Information (all medical serices

Details: All questions regarding the MD WCC Medical Fee Schedule should be sent via email: [email protected] or via telephone. (410) 864-5320; outside Baltimore Metro area toll free (800) 492-0479 selecting extension 5320 when prompted, during normal business hours. Telephone Services CPT codes 99441 – 99443 have been updated in the 2020

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› Url: https://www.wcc.state.md.us/mfg/medical_fee_schedule.html Go Now

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Medical Fee Schedule - Resources

Details: Fee Schedule Documents. COVID-19 Medical Fee Schedule Update - 04/24/2020. Fee schedule law as of 8/19/13 (new Preferred Provider Program text) Fee schedule law as of 6/28/11. Fee schedule law prior to 6/28/11. Rules for treatment effective 11/20/12 (new physician-dispensed medicine provision on p.

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MHCP CDT license agreement / Minnesota Department of Human

Details: Before you can view certain Minnesota Health Care Programs (MHCP) provider information, you must accept an agreement to abide by the American Medical Association and the American Dental Association copyright rules. This includes access to the MHCP fee schedule.

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Florida Medicaid Fee Schedule Overview

Details: The policy has been revised and is posted on the 2018 Practitioner Fee Schedule. Laboratory Fee Schedules • Separation of the Physician and Outpatient Laboratory Fee Schedule. –Outpatient laboratory services are now reimbursed using the Enhanced Ambulatory Patient …

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Medicaid Department of Health State of Louisiana

Details: Outpatient Hospital Ambulatory Surgery. Outpatient Hospital Services. Pediatric Day Health Care Services Fee Schedule. Professional Services, Lab, X-Ray, Radiology and ASC. Rehabilitation Services Reimbursement Fee Schedule. Specialized Behavioral Health Fee Schedule. Take Charge Plus Fee Schedule. TPN Fee Schedule.

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› Url: https://www.lamedicaid.com/provweb1/fee_schedules/feeschedulesindex.htm Go Now

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Maryland Department of Health 10.21.25 Fee Schedule

Details: 10.21.25 Fee Schedule — Mental Health Services — Community-Based Programs and Individual Practitioners Authority: Health-General Article, §§ 2-104, 7.5-205, 10-205, and 10-206 and Title 16, Subtitles 1 and 2, Annotated Code of Maryland

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› Url: https://health.maryland.gov/regs/Pages/10-21-25-Fee-Schedule-%E2%80%94-Mental-Health-Services-%E2%80%94-Community-Based-Programs-and-Individual-Practitioners-(BEHAVIORAL-HEALTH-A.aspx Go Now

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STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT

Details: MEDICAL ASSISTANCE PROGRAM Page 2a.3 . State of Mississippi Methods and Standards for Establishing Payment Rates – Other Types of Care . OPPS fee schedule rates are the same for both governmental and private providers of hospital outpatient services. The MS Medicaid OPPS fee schedule is set and updated each

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Fee Schedules NC Medicaid

Details: Pregnancy Medical Home (Replaced by Pregnancy Management Program) July 13, 2021: Private Duty Nursing: March 30, 2020: 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

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Medical Assistance Division – Pending and Approved State

Details: Behavioral Health Fee Schedule Pricing: 19-0014: 2/26/2020: Inpatient Hospital Reimbursement: 19-0013 : Outpatient Hospital Prospective Payment System Dental Rate Increase: 15-0015 : 5/26/2016: Final Federal Medical Assistance Percentage (FMAP) Claiming for the New Adult Group

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› Url: https://www.hsd.state.nm.us/medical-assistance-division-state-plan/ Go Now

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Information for Medicaid Providers Idaho Department of

Details: If you find a code not listed, contact Gainwell Technology at 1-866-686-4272, for more information. Anesthesia Fee Schedule- effective 7/1/2018. Codes specific to Anesthesia providers are billed to Medicaid where the total units for time are equal to 1 unit per minute at a rate of $1.00.

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Connecticut Medical Assistance Program P rovider Bulletin

Details: For questions about billing or if further assistance is needed to access the fee schedule on the Connecticut Medical Assistance Program Web site, please contact the HP Provider Assistance Center, Monday through Friday from 8:00 a.m. to 5:00 p.m. at 1-800-842-8440. Posting Instructions: Policy transmittals can be

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Sec. 176.1364 MN Statutes

Details: Subd. 3. Hospital outpatient fee schedule (HOFS). (a) Effective for hospital outpatient services on or after October 1, 2018, the commissioner shall establish a workers' compensation hospital outpatient fee schedule (HOFS) to establish the payment for hospital bills with charges for services with a J1 or J2 status indicator as listed in the status indicator (SI) column of Addendum B and the

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Georgia Medicaid

Details: Medicaid News. DCH is conducting stakeholder feedback sessions to solicit feedback and input on the DCH 2021‒2023 Quality Strategy on Friday, February 19, 2021 and Wednesday, February 24, 2021. For more information on the waiver submissions please visit the Patients First Act Webpage. The 30-day Extension of Postpartum Services 1115

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DELAWARE HEALTH AND SOCIAL SERVICES DIVISION OF …

Details: 5/30/13 4.3 Added language to introduce billing for outpatient services. 11/1/13 8.0 Updated Sealant Information 3/31/14 8.0 Updated fees in dental fee schedule effective 04/01/2014 4/1/2015 8.0 Updated fees in dental fee schedule effective 04/01/2015 4/7/2015 8.0 Updated version of the dental fee schedule effective 4/1/2015

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› Url: https://medicaidpublications.dhss.delaware.gov/docs/DesktopModules/Bring2mind/DMX/API/Entries/Download?Command=Core_Download&EntryId=884&language=en-US&PortalId=0&TabId=94 Go Now

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FAQ about Medical Assistance Outpatient Fee Schedule

What is the outpatient fee schedule for 2018?

The policy has been revised and is posted on the 2018 Practitioner Fee Schedule. Laboratory Fee Schedules • Separation of the Physician and Outpatient Laboratory Fee Schedule.

Is there a fee schedule for mental health services?

Providers who billed for services rendered from [July 1, 2013] July 1, 2017 until the effective date of these regulations may resubmit their claims and be reimbursed for these services as set forth in Regulations .05—[.12] 13 of this chapter. .05 Fee Schedule — Treatment Services — Diagnosis and Therapy. A. Diagnostic Interview.

Where can I download the MA program outpatient fee schedule?

Downloadable MA Program Outpatient Fee schedule - The PROMISe™ Outpatient Fee Schedule is available for download in the following formats: Excel, PDF, and Comma Delimited. This link will take you to the PROMISe™ website where you will be required to log in using your Provider ID and Password.

What is the fee schedule for a hospital?

The Hospital Inpatient, Hospital Outpatient Surgical, and Ambulatory Surgery Center facility fee schedules are all global fee schedules. Generally, they cover all facility fees except for the carve-outs (e.g, implants).