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Fee Schedules and Rates

Below are the fee schedules and rates listed by codes for particular provider or facility types.

Envision

Fee Schedules File Type File Type Effective Date
Ambulance PDF Excel July 1, 2014
Anesthesia Base Unit PDF Excel July 1, 2014
ASC Fees for DOS prior to 1/1/2012 PDF Excel July 1, 2011
ASC Fee Schedule for DOS beginning 1/1/2014 PDF Excel Jan. 1, 2014
Billing Guidelines for Mental Health/Psychiatry PDF July 1, 2014
Billing Guidelines for Therapeutic and Evaluative Mental Health Services for Children
(formerly Billing Guidelines for Community-Based Mental Health Services)
PDF July 1, 2014
Billing Guidelines for Community Mental Health Center (Section 15) PDF July 1, 2014
Dental Fees – Outpatient Hospital PDF Excel July 1, 2014
Dental Fees – Professional Services PDF Excel July 1, 2014
Durable Medical Equipment (DME), Orthotic, Prosthetic PDF Excel July 1, 2014
Early Periodic Screening, Diagnosis, and Treatment (EPSDT) PDF July, 1, 2009
Hearing PDF Excel Dec. 1, 2013
Intellectual and Developmental Disabilities (ID/DD) waiver PDF Jan. 1, 2009
Increased Primary Care Provider PDF Excel Jan. 1, 2014
Physician Administered Drug PDF Excel July 1, 2014
Medical Supply PDF Excel July 1, 2014
Medical Supply Codes – Manually Priced PDF Excel July 1, 2014
Outpatient Prospective Payment System (OPPS) Medicaid PDF Excel July 1, 2014
PASRR Administrative Services PDF
Pathology Laboratory PDF Excel July 1, 2014
Radiology PDF Excel July 1, 2014
School Health PDF Oct. 1, 2013
Vision PDF Excel July 1, 2014

 

 

Rates Effective Date
End-Stage Renal Disease 2013
End-Stage Renal Disease bundled list Jan. 1, 2014
Federally Qualified Health Center (FQHC) Calendar Year 2014
Home Health Fiscal Year 2014
Hospice FY 2015 Rates by County Oct. 1, 2014
Hospice FY 2014 Rates by County Oct. 1, 2013
Intermediate Care Facilities for the Mentally Retarded (ICF-MR) Calendar Year 2013
Psychiatric Residential Treatment Facilities (PRTF) Calendar Year 2013
Rural Health Clinics (RHC) Calendar Year 2014
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Calendar Year 2014
MS Dept. of Health Clinic July 1, 2011
Nursing Facilities 2014 First Quarter
2014 Second Quarter
2014 Third Quarter

 

 Code descriptions on the various fee schedules available below are incomplete. Providers must use current CPT, HCPCS, CDT and ICD9 books for correct coding.

 

Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained therein) is copyright © 2008 American Dental Association. All rights reserved. Applicable FARS/DFARS Apply.

CPT only copyright 2008 American Medical Association. All rights reserved.