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Page Content
Acute Inpatient Psychiatric Hospital Rates
Jul. 2022
Jul. 2023
Jul. 2024
Acute Inpatient Rehabilitation Hospital Rates
Jul. 2022
Jul. 2023
Jul. 2024
Ambulance Services
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
Ambulatory Surgery Center Rates
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
Anesthesia
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
APR-DRG Hospital Rates
Jul. 2022
Jul. 2023
Jul. 2024
APR-DRG Weights & Average Length of Stay
Jul. 2022 (Version 39)
Spreadsheet
Jul. 2023 (Version 40)
Spreadsheet
Jul. 2024 (Version 40)
Spreadsheet
Chiropractic Services
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
Clinical Lab
Jan. 2022
Spreadsheet
Apr. 2022
Spreadsheet
Jul. 2022
Spreadsheet
Jan. 2023
Spreadsheet
Jul. 2023
Spreadsheet
Jan. 2024
Spreadsheet
Jul. 2024
Spreadsheet
COVID-19 Fee Schedule
Jul. 2022
Spreadsheet
Sep. 2023
Spreadsheet
Dental Services
2022
Spreadsheet
Jan. 2023
Spreadsheet
Jul. 2023
Spreadsheet
Jan. 2024
Spreadsheet
Jul. 2024
Spreadsheet
Durable Medical Equipment, Medical Supplies, Orthotics and Prosthetics
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
(Revised 8/28/24)
EAPG Base Rates
Jul. 2022
Jul. 2023
Jul. 2024
EAPG Weights and Information
Jul. 2022
Jul. 2023
Jul. 2024
Enhanced Payments to Primary Care Providers
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
FQHC Rates
Jan. 2022
Jan. 2023
Jan. 2024
FQHC Dental Rates
Jan. 2022
Jan. 2023
Jan. 2024
Free Standing Birth Centers
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Health Check Services
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
Hearing Aid
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
Home & Community Based Services (HCBS) - Assisted Living Rates
Jan. 2022
Sep. 2023
2024
Jan. 2024
Jul. 2024
Jan. 2025
(Revised November 8, 2024)
Home & Community Based Services (HCBS) - Transportation Service Rates
Jul. 2022
Jan. 2023
Jan. 2024
Home Health Agency
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
Hospice
Oct. 2022
Oct. 2023
Oct. 2024
Hospital Non-Acute Admin Level of Care
Jan. 2025
Indian Health Service Rates
Jan. 2022
Jan. 2023
Jan. 2024
(Revised October 8, 2024)
Injectables
Jul. 2022
Spreadsheet
Oct. 2022
Spreadsheet
Jan. 2023
Spreadsheet
Apr. 2023
Spreadsheet
Jul. 2023
Spreadsheet
Oct. 2023
Spreadsheet
Jan. 2024
Spreadsheet
Apr. 2024
Spreadsheet
Jul. 2024
Spreadsheet
(Revised July 26, 2024)
Oct. 2024
Spreadsheet
Interpretation Services
Jul. 2024
Long-Term Acute Care Hospital (LATCH)
Jul. 2024
Mental Health and Substance Use
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
(Revised September 19, 2024)
Non-Emergency Transportation Services
Jan. 2022
Spreadsheet
Jul. 2022
Spreadsheet
Jan. 2023
Spreadsheet
Jul. 2023
Spreadsheet
Jan. 2024
Spreadsheet
Jul. 2024
Spreadsheet
Nursing Services
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
Pediatric Feeding Clinics
Jul. 2022
Jul. 2023
Jul. 2024
Personal Assistance Services (PAS)
Jul. 2022
Jul. 2023
Jul. 2024
Physical Therapy and Occupational Therapy Services
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
(Revised 9/17/24)
Physician Services
Jan. 2022
Spreadsheet
Jul. 2022
Spreadsheet
Jan. 2023
Spreadsheet
Jul. 2023
Spreadsheet
Jan. 2024
Spreadsheet
Jul. 2024
Spreadsheet
(Revised 9/27/24)
Podiatry Services
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
Rural Health Clinic (RHC) Rates
Jul. 2022
Jul. 2023
Jul. 2024
(Revised September 24, 2024)
Specialized Add-On Services (SAOS)
May 2022
Jul. 2023
Jul. 2024
Speech Pathology and Audiology Services
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
(Revised 9/17/24)
Swing Beds
Jan. 2025
Visual Care Services
Jul. 2022
Spreadsheet
Jul. 2023
Spreadsheet
Jul. 2024
Spreadsheet
F
e
e Schedule Archive
Medicaid Practitioner Fee and Rates Schedules
Type
Name
Modified
Modified By
Aged and Disable Waiver Fee Schedule for Non-Medical Transportation Services (Update- Federal Mid-Year Mileage Adjustment) July 1 2022
7/12/2022 1:58 PM
System Account
Aged and Disabled Waiver Assisted Living Rates September 1, 2023
8/28/2023 4:23 PM
System Account
Aged and Disabled Waiver Fee Schedule for Non-Medical Transportation Services CY2019
1/3/2020 1:29 PM
System Account
Aged and Disabled Waiver Fee Schedule for Non-Medical Transportation Services CY2020
1/3/2020 1:41 PM
System Account
Aged and Disabled Waiver Fee Schedule for Non-Medical Transportation Services CY2021
12/31/2020 9:16 AM
System Account
Aged and Disabled Waiver Fee Schedule for Waiver Transportation Services CY2022
4/13/2022 10:15 AM
System Account
Ambulance Services July 1 2019
6/28/2019 2:01 PM
System Account
Ambulance Services July 1 2019
6/17/2019 11:48 AM
System Account
Ambulance Services July 1 2020
6/17/2020 10:41 AM
System Account
Ambulance Services July 1 2020
6/16/2020 4:33 PM
System Account
Ambulance Services July 1 2021
7/21/2021 2:52 PM
System Account
Ambulance Services July 1 2021
6/22/2021 2:27 PM
System Account
Ambulance Services July 1 2022
6/10/2022 10:32 AM
System Account
Ambulance Services July 1 2022
6/9/2022 3:21 PM
System Account
Ambulance Services July 1 2023
7/19/2023 10:41 AM
System Account
Ambulance Services July 1 2023
6/27/2023 9:49 AM
System Account
Ambulance Services July 1, 2024
6/26/2024 1:26 PM
System Account
Ambulance Services July 1, 2024
6/21/2024 12:28 PM
System Account
Ambulatory Surgery Center Rates January 1, 2024 (REVISED)
1/18/2024 9:03 AM
System Account
Ambulatory Surgery Center Rates July 1 2019
7/17/2019 10:32 AM
System Account
Ambulatory Surgery Center Rates July 1 2019
6/26/2019 12:33 PM
System Account
Ambulatory Surgery Center Rates July 1 2020
7/7/2020 3:10 PM
System Account
Ambulatory Surgery Center Rates July 1 2020
7/1/2020 2:32 PM
System Account
Ambulatory Surgery Center Rates July 1 2021
7/21/2021 2:52 PM
System Account
Ambulatory Surgery Center Rates July 1 2021
7/2/2021 12:32 PM
System Account
Ambulatory Surgery Center Rates July 1 2023
7/19/2023 10:41 AM
System Account
Ambulatory Surgery Center Rates July 1, 2023 (REVISED)
9/8/2023 10:07 AM
System Account
Ambulatory Surgery Center Rates July 1, 2024
6/26/2024 1:26 PM
System Account
Ambulatory Surgery Center Rates July 1, 2024
6/24/2024 1:36 PM
System Account
Ambulatory Surgery Center Rates October 11, 2023
11/13/2023 9:06 AM
System Account
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