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  Monday, September 23, 2019
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Fee Schedules (27 rows returned) List
 
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Fee Schedules (27 rows returned)

 
 TitleFile TypeSize (KB)Release Date 
Durable Medical Equipment Fee Schedule - (Excel)XLSX68.407/01/2019 
Durable Medical Equipment Fee Schedule - (PDF)PDF537.307/01/2019 
Orthotic and Prosthetic Services - Fee Schedule - (Excel)XLSX83.807/01/2019 
Orthotic and Prosthetic Services - Fee Schedule - (PDF)PDF810.707/01/2019 
OutPatient Fee Schedule - Site of Service DifferentialPDF339.407/01/2019 
Physicians - Schedule of Maximum Allowable Payments - (Excel)XLSX303.707/01/2019 
Physicians - Schedule of Maximum Allowable Payments - (PDF)PDF2294.207/01/2019 
Portable X-Ray and CT Scan Services - (Excel)XLSX15.207/01/2019 
Portable X-Ray and CT Scan Services - (PDF)PDF165.207/01/2019 
Providers' Administered Drug List (PADL) - Appendix A (Excel)XLSX43.107/01/2019 
Providers' Administered Drug List (PADL) - Appendix A (PDF)PDF465.207/01/2019 
Schedule of Maximum Allowable Payments Clinical Laboratory and Anatomical Pathology ServicesPDF869.207/01/2019 
Part II Policies and Procedures for Schedule of Maximum Allowable CPT Anesthesia Base UnitsPDF97.404/01/2019 
Schedule of Maximum Allowable CPT Anesthesia Base Units - ExcelXLSX17.604/01/2019 
Schedule of Maximum Allowable CPT Anesthesia Base Units - PDFPDF119.504/01/2019 
Zipped January 2019 1st Quarter Fee SchedulesZIP3974.304/01/2019 
Zipped Medicaid Policy Manuals 2019 - 2nd Quarter - Fee SchedulesZIP3580.104/01/2019 
Schedule of Maximum Allowable Payments Physician - ExcelXLSX334.201/01/2019 
Schedule of Maximum Allowable Payments Physician - PDFPDF2295.401/01/2019 
Zipped 2018 Fee SchedulesZIP17250.612/31/2018 
House Bill 44 PCP Rate IncreasePDF520.401/01/2018 
Zipped 2017 Fee SchedulesZIP1190801/01/2018 
House Bill 751 PCP Rate Increase - July 2016PDF199.407/01/2016 
House Bill 76 PCP Rate Increase - July 2015PDF26807/01/2015 
Zipped 2014-2016 Fee SchedulesZIP19031.412/31/2014 
Zipped Excel Fee Schedules (Jan 2010-2013)ZIP4451.608/26/2013 
Zipped PDF Fee Schedules (Jan 2010-2013)ZIP14844.608/26/2013 
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