Any claims with dates of service on or after January 1, 2022, that were paid at the prior reimbursement rate will be reprocessed The State Plan Amendment was approved effective January 1, 2022. Visit our Forms and publications page to download authorization forms. 4668 0 obj <> endobj The minimum payment rates consist of three parts: The approved State Plan rate per diem as determined in accordanance with State Plan attachment 4.19 D; A uniform rate per diem by provider class; and. Please let us know how we can improve this page. 97152. This Agreement will terminate upon notice to you if you violate the terms of the Agreement. Email questions to MedicalBenefitRequest@hhsc.state.tx.us. by: . Requests for prior authorization for new Autism Services benefits will be accepted on or after February 1, 2022. Optum Marylandhas provided a listing of Mental Health, Substance Use Disorder and other specific levels of care by fee schedules for Providers to use. Mailing Address. Proposed rates are calculated utilizing established methodologies that conform to the Social Security Act and related federal regulations, the federally approved Texas Medicaid State Plan, all applicable state statutes and rules, and other requirements. For information related to withdrawal management services (previously detox), please see the agency's inpatient hospital guide. CDT is provided as is without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. U.S. GOVERNMENT RIGHTS. Note: Download PDF (Portable . 6/15/ 2022 TEXAS MEDICAID FEE SCHEDULE - 1 of 25 OUTPATIENT BEHAVIORAL HEALTH Provider Type: TOS: TOS Desc: Proc Code: Mod 1: Mod 2: Client Age Frm: Thru: Client Age See Physician-related/professional services. Assistive Care Services Fee Schedule. Rate updated "Y" 90785 Interactive Complexity Use in conjunction with codes for diagnostic psychiatric evaluation [90791, 90792], psychotherapy [90832, 90834, 90837], psychotherapy when performed with an E&M service [90833, 90836, 90838, 99201-99205, 99213-99215], and group psychotherapy [90853] Event: 10.90 9.26: 8.72 7.63: 5.45 Y IF YOU DO NO AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. CPT is a registered trademark of American Medical Association. To inquire about other rates, please call our Customer Service provider line. See Physician-related/professional services for information regarding vision exams and related services. BY USING THIS SYSTEM YOU ACKNOWLEDGE AND AGREE THAT YOU HAVE NO RIGHT OF PRIVACY IN CONNECTION WITH YOUR USE OF THE SYSTEM OR YOUR ACCESS TO THE INFORMATION CONTAINED WITHIN IT. File specifications for FFS medical-dental fee schedule. endstream endobj startxref A .gov website belongs to an official government organization in the United States. Medicaid Autism Services will be delivered in managed care as well as in fee-for-service. endstream endobj startxref You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. Share sensitive information only on official, secure websites. kO3b^|6u~v@U\a.cLb0^Ktx3|v`Sek \X^D !B# Reimbursement Rate ABA Skill Building. Providers monitor and measure how 40 Hours Specialized Training Competency Assessment by master's Level Ongoing Supervision by master's Level National The comparison includes reimbursement rates, copayments and annual caps. Nursing Facility Rate list; Outpatient Hospital Radiology Fee Schedules: 2021; 2020; 2019; 2018; Outpatient Hospital Surgical Procedural Fee Schedules: Effective 01/01/19 (updated 11/30/18) Outpatient Hospital Lab Fee Schedules: Effective 01/01/21 (updated 04/08/21) Outpatient Hospital Simplified Fee Schedules: Effective 7/20/2021; Effective 7 . The information contained in these schedules is made available to provide information and is not a guarantee by the State or the Department or its employees as to the present accuracy of the information contained herein. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Inpatient Service Rates - effective 9/1/2022: Inpatient Rates eff. Northwood Children's Services-West Campus. THE LICENSE GRANTED HEREIN IS EXPRESSLY CONTINUED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. These are large and complex documents. The long-term goal was to increase the reimbursement rate so credible ABA providers like BlueSprig could service children with Medicaid coverage . A lock ( hN@_et' !% T = qa6X5vd/}rU+oA[@=Oc ah8(h"3RlT q2HL|o|U3D,ARj 56fY-e7ap6ocJ`M@DESmP-6f H@pEDI_lq|rt|5'dG Wii"pJ3E0Eg_iY5DrM|/u;ma!cw($;!o\$sNOm"8~j87TB,QZuk #Xh"-x`z+`44z;pI+.iBM#Qp% ( S#s1Em4Hd Y% ANY UNAUTHORIZED USE OR ACCESS, OR ANY UNAUTHORIZED ATTEMPTS TO USE OR ACCESS, THIS SYSTEM MAY SUBJECT YOU TO DISCIPLINARY ACTION, SANCTIONS, CIVIL PENALTIES, OR CRIMINAL PROSECUTION TO THE EXTENT PERMITTED UNDER APPLICABLE LAW. Primary Care and OBGYN codes Updated to 2020 Medicare Rate (Effective 7/1/2021) PDF: 69.4: 07/01/2021 : Zipped Fee Schedules - 2nd Quarter 2021: ZIP: 4968. . Doing Business with the Defense Health Agency, Defense Medical Readiness Training Institute, Defense Health Program Agency Financial Report, 2020 DOD Womens Reproductive Health Survey (WRHS), Conducting Health Care Surveys in the DOD, Transition from CAHPS Version 4.0 to Version 5.0, TRICARE Inpatient Satisfaction Surveys (TRISS), 2018 Health-Related Behaviors Survey (HRBS), 2015 Health-Related Behavior Survey Active Duty, 2014 Health Related Behavior Survey of Reserve Component Leadership Fact Sheet, 2011 Health-Related Behavior Survey Active Duty, 2009 Health-Related Behavior Survey - Reserve Component, Clinical Improvement Priorities for MTF Providers, Small Market and Stand-Alone MTF Organizations, Defense Health Agency Region Indo-Pacific, Comprehensive Changes to the Autism Care Demonstration, Applied Behavior Analysis Maximum Allowed Amounts, Blend Rate Method for Radiology for Cancer and Children's Hospitals, TRICARE CHAMPUS ASA and DRG Weights Summary, TRICARE Rate Variables and Cost-Share Per Diems, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Limits on Number of Services without Override Code, Mental Health and Substance Use Disorder Facility Rates, Military Medical Support Office at DHA, Great Lakes, Information for Patients: TRICARE Pharmacy Program, Information for Pharmaceutical Manufacturers, Contact the TRICARE Retail Refund Team and FAQs, Opioid Overdose Education and Naloxone Distribution Program, DHA Pharmacy Operations Support Contract Data Management Team, Prescription Drug Monitoring Program Procedures, Quality, Patient Safety & Access Information (for Patients), Quality & Safety of Health Care (for Health Care Professionals), Eliminating Wrong Site Surgery and Procedure Events, The Global Trigger Tool in the Military Health System Guide, Patient Safety & Quality Academic Collaborative, Patient Safety Champion Recognition Program, Armed Forces Billing and Collection Utilization Solution, Health Plan and Policy Billing Guidelines, Health Insurance Portability and Accountability Act, UBO Standard Insurance Table (SIT)/Other Health Insurance (OHI), Air Force Wounded Warrior Northeast Warrior CARE Photo Essay, Ensuring Access to Reproductive Health Care, Defense Health Board Open Meeting Agenda March 22 2023, Basic Core Formulary - Extended Core Formulary, Minutes Defense Health Board Meeting November 30 2022, TRICARE Maternity and Newborn Care Slides, TRICARE Maternity and Newborn Care Speakers Notes, Defense Healthcare Management Systems Fiscal Year 2022 Annual Report, ABA Maximum Allowed Rates Effective May 1, 2022, ABA Maximum Allowed Rates Effective August 1, 2021, ABA Maximum Allowed Rates Effective May 1 2021, ABA Maximum Allowed Rates Effective May 1 2020, ABA Maximum Allowed Rates Effective May 1 2019, ABA Maximum Allowed Amounts Effective May 1, 2018, Applied Behavior Analysis Maximum Allowed Amounts - Effective May, 1, 2017, Applied Behavior Analysis Maximum Allowed Amounts - Spring 2016, RAND Report: TRICARE Applied Behavior Analysis Benefit. North Homes ITASKIN Center. Wednesday, April 13, 2022 The CHAMPUS Maximum Allowable Charge (CMAC), which aligns with Medicare reimbursement rates and rules for similar services (refer to 42 U.S.C., Section 1395 for more information), is the maximum amount TRICARE will reimburse for nationally established procedure codes. Requirements for interdisciplinary team meetings, Prior authorization, billing, and reimbursement for procedure codes 97151, 97153, 97154, 97155, 97156, 97158, and 99366. This report, prepared by the RAND Corporation, provides a comparison of TRICARE's current applied behavior analysis benefit with Medicaid and commercial benefits. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer databases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. Reimbursement Rates only available through Medicaid Managed Care Organizations (MMCOs) Mobile/Telephonic Crisis Intervention - 5/5/2022 Rate codes are only available through Medicaid Managed Care Organizations (MMCOs) to individuals 21 and older. Notice: Past billing guides may have broken links. Effective February 1, 2022, Applied Behavior Analysis (ABA) is a covered benefit for Medicaid enrollees in Texas who have autism spectrum disorder (ASD). The ABA Fee Schedule can be viewed on the Autism Providers Information page, here PBHS Provider Billing Appendix.pdf State Fiscal Year 2023 (Effective October 1, 2022) PBHS PRP and Specialty Programs Rates (Eff-10-01-22) State Fiscal Year 2023 (Effective July 1, 2022) PBHS PRP Billing Cascade (Eff -07-01-22) A facility specific rate per diem by provider class. to Dec. 31, 2022. 98% of claims must be paid within 30 days and 100% . Proposed Equal Hourly Rate ; ON Boarding & Training Cost . ABA Maximum Allowed Amounts Effective May 1, 2022 . ----------------------- 101 CMR 358.00: Rates of Payment for Applied Behavior Analysis This is an unofficial version of Commonwealth regulations and is posted here for the convenience of the public. A .mass.gov website belongs to an official government organization in Massachusetts. Heres how you know. PDF. PBHS PRP and Specialty Programs Rates (Eff-10-01-22), PBHS Individual Practitionerand OMHC Rates (Eff -07-01-22), PBHS PRP and Specialty Programs Rates (Eff-07-01-22), Health Homes Fee Schedule (Eff -07-01-22), PMHS Individual Practitionerand OMHC Rates (Eff -01-01-22), PMHS PRP and Specialty Programs Rates (Eff-01-01-22), Health Homes Fee Schedule (Eff -01-01-22), Evaluation and Management Rates - Individual and OMHC (Eff. Note: Texas Medicaid managed care organizations (MCOs) must follow all aspects of the Applied Behavior Analysis (ABA) services policy as outlined in this draft notice. The feedback will only be used for improving the website. medicaid reimbursement rates for aba therapy. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. This is an unofficial version of Commonwealth regulations and is posted here for the convenience of the public. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) EAPG Covered Codes ( PDF) ( XLSX) Base Rate: $74.83 (effective 8/1/2017-1/1/2020) $83.34 (effective 1/2/2020-Present) Cost-to-Charge Ratio: 18% (effective 8/1/2017-1/1/2020) After you complete a service, you file claims through the ProviderOne portal. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Unless otherwise specified, the program(s) in this guide . TennCare services are offered through managed care entities. hbbd```b`` 3@$G""Y`D|`X&0L~$L"$b`A"_" R6 R!"{e?t1M "LLt"30p0 h The rates depicted are either the actual rate calculated or the current rate less 15%, whichever is higher. 1-1-18).pdf, Maryland Recovery Network(MDRN) Fee Schedule 09-30-16.pdf. For fee schedule and rate questionsEmail:ProfessionalRates@hca.wa.gov, For all other provider questionsMedical Assistance Customer Service Center (MACSC)Online: secure formPhone: 1-800-562-3022, Website feedback: Tell us how were doing, Copyright 2023 Washington Health Care Authority, I help others apply for & access Apple Health, Apple Health for Workers with Disabilities (HWD), Medically Intensive Children's Program (MICP), Behavioral health services for prenatal, children & young adults, Wraparound with Intensive Services (WISe), Behavioral health services for American Indians & Alaska Natives (AI/AN), Substance use disorder prevention & mental health promotion, Introduction overview for general eligibility, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services & supports (LTSS) manual, Medical plans & benefits (including vision), Life, home, auto, AD&D, LTD, FSA, & DCAP benefits. 24 units Codes: CPT Description; Unit LBA: SCABA TECH: 97151. $585.43. WARNING: THIS IS A TEXAS HEALTH AND HUMAN SERVICES INFORMATION RESOURCES SYSTEM THAT CONTAINS STATE AND/OR U.S. GOVERNMENT INFORMATION. The proposed rates for CLASS and CAS/FC/PHC were calculated to align with the legislative intent of Rider 45. Herein, the reported commercial insurance rates repre-sent third-party payment to the service provider and do not include patient cost-share amounts. June 1, 2022. Jump to the first list item for each letter: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z. Texas Health and Human Services Commission (HHSC) is releasing a draft of the Medicaid Autism Services benefit to providers. SERVICES 97153 0 20 Years 0.00 $0.0000 $11.25 3/1/2022 0.00 $11.25 0.00 $0.0000 $11.25 3/1/2022 0.00 $11.25 3/1/2022 . Updated: Mar 3, 2022 / 10:24 AM EST. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Promulgated Fee Schedule 2022. . If you need assistance, please contact the Executive Office of Health and Human Services. Applications are available at the American Dental Association web site, http://www.ADA.org. Vision hardware fee schedule is available through the ESD contract. COSTS AND FEES 022 GLOBAL. The reimbursement rate applied to a claim depends on the claim's date of service because Arkansas Medicaid's reimbursement rates are date-of-service effective. . CMS DISCLAIMER. 2. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Some documents are presented in Portable Document Format (PDF). Behavioral Health Overlay Services Fee Schedule. What if parents/caregivers cannot comply with the 85% expected attendance rate? You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Thank you for your website feedback! P.O. Schedule Type. Reimbursement is at 100% of the rate payable under Medicare (101% of billed charges based on a calculated cost-to-charge ratio on the facility's most recent interim rate letter). 5. 2023 to February 25, 2023 Telemedicine billing guide, November 2, 2022 to December 31, 2022 Telemedicine billing guide, August 1, 2022 to present Apple Health (Medicaid) physical health audio-only procedure codes, January 1, 2023 to present - Apple Health (Medicaid) audio-only behavioral health codes, August 1, 2022 to present Apple Health (Medicaid) audio-only behavioral health codes, June 28, 2022 to July 31, 2022 Telehealth services billing guide audio only supplement, August 1, 2022 to present Apple Health (Medicaid) clinical policy and billing for COVID-19, July 22, 2022 to July 31, 2022 Apple Health (Medicaid) clinical policy and billing, February 1, 2022 to July 21, 2022 Apple Health (Medicaid) clinical policy and billing, January 1, 2022 to January 31, 2022 Apple Health (Medicaid) clinical policy and billing, View all clinical policy and billing FAQs, June 6, 2020 to December 31, 2021 Apple Health (Medicaid) telemedicine/telehealth brief, May 10, 2020 to June 6, 2020 Apple Health (Medicaid) telemedicine/telehealth brief, April 29, 2020 to May 9, 2020 Apple Health (Medicaid) telemedicine/telehealth brief, August 1, 2022 to present Apple Health (Medicaid) behavioral health policy and billing, February 1, 2022 to July 31, 2022 Apple Health (Medicaid) behavioral health policy and billing, April 29, 2021 to January 31, 2022 Apple Health (Medicaid) behavioral health policy and billing, View all behavioral health policy and billing FAQs, July 22, 2022 to present Apple Health (Medicaid) ABA policy and billing, February 1, 2022 to July 21, 2022 Apple Health (Medicaid) ABA policy and billing, January 1, 2022 to January 31, 2022 Apple Health (Medicaid) ABA policy and billing, July 22, 2022 to present Apple Health (Medicaid) FAQ for diabetes education providers, February 1, 2022 to July 21, 2022 Apple Health (Medicaid) FAQ for diabetes education providers, January 1, 2022 to January 31, 2022 Apple Health (Medicaid) FAQ for diabetes education providers, View all FAQs for diabetes education providers, May 3, 2020 to present Apple Health (Medicaid) home health services billing and policy during COVID-19 pandemic, November 20, 2020 to May 2, 2021 Apple Health (Medicaid) home health services billing and policy during COVID-19 pandemic, October 1, 2020 to November 19, 2020 Apple Health (Medicaid) home health services billing and policy during COVID-19 pandemic, View all home health services billing and policy FAQs, July 22, 2022 to present Telehealth requirements for physical, occupational and speech therapy, February 1, 2022 to July 21, 2022 Telehealth requirements for physical, occupational and speech therapy, January 1, 2022 to January 31, 2022 Telehealth requirements for physical, occupational and speech therapy, View all telehealth requirements for physical, occupational, and speech therapy, January 1, 2022 to present Telehealth services in long term care facilities and skilled nursing facilities, May 3, 2021 to December 31, 2021 Telehealth services in long term care facilities and skilled nursing facilities, October 1, 2020 to May 2, 2021 Telehealth services in long term care facilities and skilled nursing facilities, View all Telehealth requirements for LTC and SNF, February 1, 2022 to present Family planning only billing guide telemedicine/telehealth, January 1, 2022 to January 31, 2022 Family planning only billing guide telemedicine/telehealth, May 3, 2021 to December 31, 2021 Family planning only billing guide telemedicine/telehealth, January 1, 2023 to present TransHealth billing guide, January 1, 2023 to present TransHealth fee schedule, January 1, 2023 to present Tribal health billing guide, October 1, 2022 to December 31, 2022 Tribal health billing guide, July 1, 2022 to September 30, 2022 Tribal health billing guide, View all Tribal Health Program billing guides, January 1, 2023 to present Tribal health program fee schedule, January 1, 2022 to December 31, 2022 Tribal health program fee schedule, October 1, 2021 to December 31, 2021 Tribal health program fee schedule, July 1, 2022 to present Vision hardware billing guide, January 21, 2022 to June 30, 2022 Vision hardware billing guide, January 1, 2022 to January 20, 2022 Vision hardware billing guide, Guidance for hospitals in billing MCOs for services provided to newborns.pdf, January 1, 2023 to present Refer to the. Text Files. The provider rates associated with this benefit can be found at this link: Reimbursement Rate Updates for Autism Services Procedure Codes Effective February 1, 2022. file a claim for reimbursement) ADFMs using TRICARE Select Overseas and TRS members: 20% cost- Beginning July 30, 2021, Licensed Behavior Analyst Providers Can Submit Texas Medicaid Enrollment Applications. CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical equipment, prosthetics, orthotics, and supplies. How do I notify PEBB that my loved one has passed away? See the 2021 rate information. Radiology Rates, effective January 1, 2022, updated in accordance with State Plan Amendment 22-0006. Fee-for-service substance use disorder treatment rate increases, effective October 1, 2019. Providers are to charge their reasonable and customary charge regardless of the anticipated reimbursement from the department. Great care has been taken to make sure that the prepared documents and the claims payment system are the same. 15 minutes. A webinar is planned in the future for the public regarding the new benefit. The updated National Rates were then adjusted using the Medicare geographic locality factors, exactly as used to adjust all other TRICARE rates. Updated Fee Schedule July 2022. Please limit your input to 500 characters. The IHS rate is mandated by the Department of Health and Human Services and is published yearly in the Federal Register. According to Medical Assistance Division (MAD) policy 701.1, upon approval of a New Mexico Medical Assistance Provider Participation Agreement (PPA) by MAD, licensed practitioners or facilities that meet applicable requirements are eligible to be reimbursed for covered services rendered to Medicaid recipients. Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, Community behavioral support (CBHS) services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Home health care services: electronic visit verification, Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19), Information about novel coronavirus (COVID-19) webpage, Medical Assistance Customer Service Center (MACSC) online, October 1, 2022 to present ABCD billing guide, July 1, 2022 to September 30, 2022 ABCD billing guide, April 15, 2022 to June 30, 2022 ABCD billing guide, July 1, 2022 to present Acute physical medicine and rehabilitation billing guide, October 1, 2020 to June 30, 2022 Acute physical medicine and rehabilitation billing guide, January 1, 2020 to September 30, 2020 Acute physical medicine and rehabilitation billing guide, View all acute physical medicine and rehabilitation billing guides, July 1, 2022 to present Alien Medical Program billing guide, January 1, 2022 to June 30, 2022 Alien Medical Program billing guide, April 1, 2021 to December 31, 2021 Alien Medical Program billing guide, View all Alien Medical Program emergency assistance billing guides, January 1, 2021 to present Ambulance transportation billing guide, July 1, 2020 to December 31, 2020 Ambulance transportation billing guide, April 1, 2020 to June 30, 2020 Ambulance transportation billing guide, View all Ambulance transportation billing guides, July 1, 2022 to present Ground Emergency Medical Transportation (GEMT) billing guide, October 1, 2020 to June 30, 2022 Ground Emergency Medical Transportation (GEMT) billing guide, January 1, 2020 to September 30, 2020 Ground Emergency Medical Transportation (GEMT) billing guide, July 1, 2021 to present Ambulance transportation, February 29, 2020 to June 30, 2021 Ambulance transportation, July 1, 2019 to February 28, 2020 Ambulance transportation, December 1, 2016 to June 30, 2019 Ambulance transportation, January 1, 2006 to November 30, 2016 Ambulance transportation, July 1, 2022 to present ACS billing guide, July 1, 2021 to June 30, 2022 ASC billing guide, October 1, 2020 to June 30, 2021 ASC billing guide, October 1, 2022 to present ASC fee schedule, April 1, 2022 to September 30, 2022 ASC fee schedule, October 1, 2021 to March 31, 2022 ASC fee schedule, March 1, 2021 to September 30, 2021 ASC fee schedule, January 1, 2023 to present ABA billing guide, October 1, 2022 to December 31, 2022 ABA billing guide, August 1, 2022 to September 30, 2022 ABA billing guide, July 1, 2022 to present ABA fee schedule, July 1, 2021 to June 30, 2022 ABA fee schedule, July 1, 2020 to June 30, 2021 ABA fee schedule, ABA COE fee-for-service provider directory, July 1, 2022 to present Blood bank fee schedule, July 1, 2021 to June 30, 2022 Blood bank fee schedule, July 1, 2020 to June 30, 2021 Blood bank fee schedule, View all Blood Bank services fee schedules, Substance-Using Pregnant People (SUPP) program billing guide, January 1, 2022 to December 31, 2022 CUP program billing guide, October 1, 2020 to December 31, 2021 CUP women program billing guide, July 1, 2019 to September 30, 2020 CUP women program billing guide, Inpatient Prospective Payment System (IPPS), October 1, 2020 to present Childbirth education billing guide, April 1, 2019 to September 30, 2020 Childbirth education billing guide, October 1, 2017 to March 31, 2019 Childbirth education billing guide, View all childbirth education billing guides, January 1, 2007 to present Childbirth education, July 1, 2022 to present Chiropractic services billing guide, October 1, 2020 to June 30, 2022 Chiropractic services billing guide, January 1, 2020 to September 30, 2020 Chiropractic services billing guide, View all chiropractic services for children billing guides, July 1, 2022 to present Chiropractic services for children fee schedule, July 1, 2021 to June 30, 2022 Chiropractic services for children fee schedule, July 1, 2020 to June 30, 2021 Chiropractic services for children fee schedule, View all chiropractic services for children fee schedules, July 1, 2022 to present CRT products and services billing guide, January 1, 2022 to June 30, 2022 CRT products and services billing guide, October 1, 2020 to December 31, 2021 CRT products and services billing guide, July 1, 2022 to present CRT fee schedule, April 1, 2022 to June 30, 2022 CRT fee schedule, July 1, 2021 to March 31, 22 CRT fee schedule, October 1, 2022 to present Social services blanket code crosswalk, September 1, 2021 to September 30, 2022 Social services blanket codes, November 17, 2020 to August 31, 2021 Social services blanket codes, July 1, 2022 to present COVID-19 fee schedule, January 1, 2022 to June 30, 2022 COVID-19 fee schedule, July 1, 2021 to December 31, 2021 COVID-19 fee schedule, December9, 2022to present Apple Health COVID-19 vaccine policy, November 21, 2022 to December 8, 2022- Apple Health COVID - 19 vaccine policy, October 12, 2022 to November 20, 2022 Apple Health COVID-19 vaccine policy, December 16, 2022 to present Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, September 14, 2022 to December 15, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, August 19, 2022 to September 13, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, May 10, 2022 to August 18, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, April 12, 2022 to May 9, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, March 23, 2022 to April 11, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, View all Monoclonal Antibody Treatment COVID-19 clinical policies, November 21, 2022 to present Apple Health COVID-19 testing clinical policy, March 4, 2022 to November 20, 2022 Apple Health COVID-19 testing clinical policy, January 24, 2022 to March 3, 2022 Apple Health COVID-19 testing clinical policy, View all COVID-19 testing clinical policies, Access to Baby and Child Dentistry (ABCD), January 1, 2023 to present Dental-related services program billing guide, October 1, 2022 to December 31, 2022 Dental-related services program billing guide, August 1, 2022 to September 30, 2022 Dental-related services program billing guide, July 1, 2022 to present Oral Health Connections pilot project billing guide, January 1, 2022 to June 30, 2022 Oral Health Connections pilot project billing guide, October 1, 2020 to December 31, 2021 Oral Health Connections pilot project billing guide, View all OHC pilot project billing guides, July 1, 2022 to present Mobile anesthesia for dental services billing guide, January 1, 2023 to present Dental program fee schedule, October 1, 2022 to December 31, 2022 Dental program fee schedule, July 1, 2022 to September 30, 2022 Dental program fee schedule, July 1, 2022 to present Diabetes education program billing guide, July 1, 2021 to June 30, 2022 Diabetes education program billing guide, April 1, 2021 to June 30, 2021 Diabetes education program billing guide, View all Diabetes Education Program billing guides, July 1, 2022 to present Diabetes education, July 1, 2021 to June 30, 2022 Diabetes education, July 1, 2020 to June 30, 2021 Diabetes education, View all diabetes education fee schedules, Medical Equipment and Supplies billing guide, January 1, 2019 to March 31, 2019 DME and non-CRT wheelchairs billing guide, October 1, 2018 to December 31, 2018 DME and non-CRT wheelchairs billing guide, July 1, 2018 to September 30, 2018 DME and non-CRT wheelchairs billing guide, Medical Equipment and Supplies fee schedules, January 1, 2019 to March 31, 2019 Other DME fee schedule, January 1, 2019 to March 31, 2019 Wheelchairs and accessories fee schedule, View all DME social services blanket codes, January 1, 2023 to present ESPDT program billing guide, July 1, 2022 to December 31, 2022 EPSDT program billing guide, April 1, 2022 to June 30, 2022 EPSDT program billing guide, July 1, 2022 to present EPSDT fee schedule, July 1, 2021 to June 30, 2022 EPSDT fee schedule, July 1, 2020 to June 30, 2021 EPSDT fee schedule, March 1, 2023 to present - Enteral nutrition billing guide, September 1, 2022 to February 28, 2023 Enteral nutrition billing guide, July 1, 2022 to August 31, 2022 Enteral nutrition billing guide, View all enteral nutrition billing guides, March 1, 2023 to present Enteral nutrition fee schedule, July 1, 2022 to February 28, 2023 Enteral nutrition fee schedule, July 1, 2021 to June 30, 2022 Enteral nutrition fee schedule, January 1, 2023 to present Family planning billing guide, July 1, 2022 to December 31, 2022 Family planning billing guide, February 1, 2022 to June 30, 2022 Family planning billing guide, January 1, 2023 to present Family planning fee schedule, October 1, 2022 to December 31, 2022 Family planning fee schedule, July 1, 2022 to September 30, 2022 Family planning fee schedule, July 1, 2022 to present SRHP fee schedule, October 1, 2021 to June 30, 2022 SRHP fee schedule, Physician-Related Services/Health Care Professional Services Billing Guide, Physician administered drugs fee schedule, Family planning only program telemedicine services offered during the COVID-19 outbreak, Family planning client application (form 13-781), January 1, 2023 to present FQHC billing guide, October 1, 2022 to December 31, 2022 FQHC billing guide, August 1, 2022 to September 30,2022 FQHC billing guide, January 1, 2023to present FQHC encounter rates, October 1, 2022 to December 31, 2022 FQHC encounter rates, July 1, 2022 to September 30, 2022 FQHC encounter rates, January 1, 2023 to present FQHC enhancement rates, October 1, 2022 to December 31, 2022 FQHC enhancement rates, July 1, 2022 to September 30, 2022 FQHC enhancement rates, August 1, 2022 to present Habilitative services program billing guide, July 1, 2022 to July 31, 2022 Habilitative services program billing guide, January 1, 2022 to June 30, 2022 Habilitative services program billing guide, View all habilitative services billing guides, July 1, 2022 to present Habilitative services, July 1, 2021 to June 30, 2022 Habilitative services, January 1, 2021 to June 30, 2021 Habilitative services, View all habilitative services fee schedules, April 1, 2022 to present Hearing hardware billing guide, November 1, 2020 to March 31, 2022 Hearing hardware billing guide, October 1, 2020 to October 31, 2020 Hearing hardware billing guide, July 1, 2022 to present Hearing hardware fee schedule, April 1, 2022 to June 30, 2022 Hearing hardware fee schedule, July 1, 2021 to March 30, 2022 Hearing hardware fee schedule, April 1, 2022 to present HIV/AIDS case management billing guide, April 1, 2021 to March 31, 2022 HIV/AIDS case management billing guide, October 1, 2020 to March 31, 2021 HIV/AIDS case management billing guide, July 1, 2018 to present HIV/AIDS case management, January 1, 2023 to present Home health (acute care services) billing guide, July 1, 2022 to December 31, 2022 Home health (acute care services) billing guide, April 1, 2022 to June 30, 2022 Home health (acute care services) billing guide, View all home health services billing guides, January 1, 2023 to present Home health fee schedule, July 1, 2022 to December 31, 2022 Home health fee schedule, January 1, 2022 to June 30, 2022 Home health fee schedule, View all home health services fee schedules, January 1, 2023 to present Home Infusion therapy billing guide, November 16, 2022 to December 31, 2022 Home Infusion therapy billing guide, October 1, 2021 to November 15, 2022 Home Infusion therapy billing guide, View all home infusion therapy and nutrition billing guides, January 1, 2023 to present Home infusion therapy/parenteral nutrition fee schedule, October 1, 2022 to December 31, 2022 Home infusion therapy/parenteral nutrition fee schedule, July 1, 2022 to September 30, 2022 Home infusion therapy/parenteral nutrition fee schedule, View all home infusion therapy/parenteral nutrition fee schedules, July 1, 2022 to present Hospice services billing guide, October 1, 2020 to June 30, 2022 Hospice services billing guide, January 1, 2020 to September 30, 2020 Hospice services billing guide, October 1, 2021 to September 30, 2022 Hospice fee schedule, October 1, 2020 to September 30, 2021 Hospice fee schedule, January 1, 2020 to July 1, 2020 Hospital-based inpatient detoxification billing guide, July 1, 2019 to December 31, 2019 Hospital-based inpatient detoxification billing guide, January 1, 2019 to June 30, 2019 Hospital-based inpatient detoxification billing guide, View all hospital-based inpatient detoxification billing guides, January 1, 2023 to present Inpatient hospital services billing guide, October 1, 2022 to December 31, 2022 Inpatient hospital services billing guide, July 1, 2022 to September 30, 2022 Inpatient hospital services billing guide, View all inpatient hospital billing guides, Guidance for billing MCOs for services provided to newborns, RAC Eligibility Codes for Healthy Options Blind/Disabled (HOBD) Clients, November 1, 2022 to present Interpreter services billing guide, April 1, 2022 to October 31, 2022 Interpreter services billing guide, October 1, 2021 to March 31, 2022 Interpreter services billing guide, July 1, 2022 to present Kidney center services billing guide, January 1, 2022 to June 30, 2022 Kidney center services billing guide, January 1, 2021 to December 31, 2021 Kidney center services billing guide, View all kidney center services billing guides, January 1, 2023 to present Kidney centers fee schedule, October 1, 2022 to December 31, 2022 Kidney centers fee schedule, July 1, 2022 to September 30, 2022 Kidney centers fee schedules, View all kidney center services fee schedules, July 1, 2022 to present Long-term care program billing guide, October 1, 2020 to June 30, 2022 Long-term care program billing guide, January 1, 2020 to September 30, 2020 Long-term care program billing guide, View all long-term acute care billing guides, August 1, 2022 to present MSS/ICM billing guide, July 1, 2022 to July 31, 2022 MSS/ICM billing guide, January 1, 2021 to June 30, 2022 MSS/ICM billing guide, July 1, 2020 to present MSS/ICM fee schedule, January 1, 2020 to June 30, 2020 MSS/ICM fee schedule, October 1, 2015 to December 31, 2019 MSS/ICM fee schedule, October 21, 2022 to present Medical Equipment and Supplies Billing Guide, October 1, 2022 to October 20, 2022 Medical Equipment and Supplies Billing Guide, July 1, 2022 to September 30, 2022 Medical Equipment and Supplies Billing Guide, View all Medical equipment and supplies billing guides, October 1, 2022 to present Medical Equipment and Supplies fee schedule, July 1, 2022 to September 30, 2022 Medical Equipment and Supplies fee schedule, January 1, 2022 to June 30, 2022 Medical Equipment and Supplies fee schedule, View all medical equipment and supplies fee schedules, February 17, 2023 to present - Medical nutrition therapy billing guide, August 1, 2022 to February 16, 2023 Medical nutrition therapy billing guide, July 1, 2022 to July 31, 2022 Medical nutrition therapy billing guide, View all medical nutrition therapy billing guides, July 1, 2022 to present Medical nutrition therapy fee schedule, July 1, 2021 to June 30, 2022 Medical nutrition therapy fee schedule, July 1, 2020 to June 30, 2021 Medical nutrition therapy fee schedule, View all medical nutrition therapy fee schedules, January 1, 2023 to present Mental health services billing guide, October 1, 2022 to December 31, 2022 Mental health services billing guide, August 1, 2022 to September 30, 2022 Mental health services billing guide, View all mental health services billing guides, January 1, 2023 to present Mental health and psychology services fee schedule, July 1, 2022 to December 31, 2022 Mental health and psychology services fee schedule, January 1, 2022 to June 30, 2022 Mental health and psychology services fee schedule, View all mental health services fee schedules, January 1, 2023 to present Specialized mental health fee schedule, July 1, 2022 to December 31, 2022 Specialized mental health fee schedule, January 1, 2022 to June 30, 2022 Specialized mental health fee schedule, View all specialized mental health services fee schedules. 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