Providers are to charge their reasonable and customary charge regardless of the anticipated reimbursement from the department. Please remove any contact information or personal data from your feedback. Share sensitive information only on official, secure websites. If you do not agree to the terms and conditions, you may not access or use the software. 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) Radiology Rates, effective January 1, 2022, updated in accordance with State Plan Amendment 22-0006. For previous versions, email us applehealthpharmacypolicy@hca.wa.gov. If you need assistance, please contact the Executive Office of Health and Human Services. 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. An official website of the Commonwealth of Massachusetts, This page, 101 CMR 358.00: Rates of Payment for Applied Behavior Analysis, is. Suggestions are presented as an open option list only when they are available. The Texas Medicaid conversion factor that is applicable for determining the amount payable when the rate is calculated by base units for . Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. ----------------------- 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) FEE SCHEDULES. 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. The managed care regulation requires that states develop valid managed care capitation rates in accordance with generally accepted actuarial principles and practices. Posted: Mar 2, 2022 / 05:41 PM EST. endstream endobj 541 0 obj <. Billing is per encounter, not per specific service. 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. to Dec. 31, 2022. 98% of claims must be paid within 30 days and 100% . Claims may be submitted for dates of service beginning February 1, 2022. by: . Fee-for-service substance use disorder treatment rate increases, effective October 1, 2019. CDT is a trademark of the ADA. The fee schedules and rates are provided as a courtesy to providers. The draft of the Medicaid Autism Services benefit includes the following topics: The CCP Prior Authorization Request Form will be updated to enable requests for prior authorization of ABA services. We're making Blue Access for Providers more secure. Higher of Original ACD Rates--$125/$75/$50, December 23, 2016 Posted Rates, or Updated 2017 Locality Rates. Please locate the pdf file where the Provider's Name would fall. Behavior ation supporting assessment . AMA/ADA End User License Agreement AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. ALL rights reserved. BCaBA/RBT : $14.30 . Mailing Address. See Physician-related/professional services. As of December 1, 2020, precertification is no longer required for assessment CPT codes 97151, 97152, or 0362T with a diagnosis of . Beginning July 30, 2021, Licensed Behavior Analyst Providers Can Submit Texas Medicaid Enrollment Applications. This report, prepared by the RAND Corporation, provides a comparison of TRICARE's current applied behavior analysis benefit with Medicaid and commercial benefits. ABA therapy involves application of validated principles of human behavior to change inappropriate behaviors. Promulgated Fee Schedule 2022. Have a national provider identifier (NPI). 3. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. endstream endobj 4669 0 obj <>/Metadata 60 0 R/PageLabels 4664 0 R/Pages 4666 0 R/StructTreeRoot 64 0 R/Type/Catalog/ViewerPreferences<>>> endobj 4670 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 90/StructParents 0/Tabs/S/TrimBox[0 0.002 612 791.998]/Type/Page>> endobj 4671 0 obj <>stream $685.00. Reimbursement Rates only available through Medicaid Managed Care Organizations (MMCOs) Mobile/Telephonic Crisis Intervention - 5/5/2022 Rate codes are only available through Medicaid Managed Care Organizations (MMCOs) to individuals 21 and older. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. No fee schedules, basic unit, relative values or related listings are included in CDT. See Inpatient Prospective Payment System (IPPS) on the Hospital reimbursement page. Schedule Type. Medicaid Autism Services will be delivered in managed care as well as in fee-for-service. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the American Medical Association (AMA) is not recommending their use. A .mass.gov website belongs to an official government organization in Massachusetts. 5. The AMA does not directly or indirectly practice medicine or dispense medical services. Department of Medical Assistance Services (DMAS) Rate Setting Information Medicaid Reimbursement Graduate Medical Education (GME) Funding Opportunity Other Fee-For-Service (FFS) Outpatient Rehab Agencies Home and Community Based Services (HCBS) Inpatient Hospital Rates (ACUTE, Psych, Rehab) And GME, IME, DSH LUMP SUM Reimbursement Outpatient Some documents are presented in Portable Document Format (PDF). hN@_et' !% T = qa6X5vd/}rU+oA[@=Oc ah8(h"3RlT q2HL|o|U3D,ARj 56fY-e7ap6ocJ`M@DESmP-6f H@pEDI_lq|rt|5'dG Wii"pJ3E0Eg_iY5DrM|/u;ma!cw($;!o\$sNOm"8~j87TB,QZuk #Xh"-x`z+`44z;pI+.iBM#Qp% ( S#s1Em4Hd Y% June 1, 2022. $585.43. See Physician-related/professional services.). AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) PHARMACY COSTS (JAN. 1, 2022-DEC. 31, 2023) . License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago IL 60611. The AMA is a third party beneficiary to this Agreement. Then select the directory/folder where you wish the zip file to reside and select "Save" once again. kO3b^|6u~v@U\a.cLb0^Ktx3|v`Sek \X^D !B# 97151 (15 min) 97153 (15 min) 97155 (15 min) 97156 (15 min) T1023 (per measure reported) LOC State Location Name ; One Rate for All Providers BCBA-Ds BCBAs BCaBAs BTs BCBA-Ds BCBAs BCaBAs One Rate for All Providers One Rate for All Providers ; . for 101 CMR 358.00: Rates of Payment for Applied Behavior Analysis, to 101 CMR 358.00: Rates of Payment for Applied Behavior Analysis. Below is a list of revised billing codes that Evernorth uses for autism services. 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. End Users do not act for or on behalf of the CMS. How do I notify PEBB that my loved one has passed away? ABA Maximum Allowed ACD Rates Select Download: Download You also may be interested in. 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. August 1, 2022 to present Neurodevelopmental centers billing guide, July 1, 2022 to July 31, 2022 Neurodevelopmental centers billing guide, July 1, 2021 to June 30, 2022 Neurodevelopmental centers billing guide, View all neurodevelopmental centers billing guides, July 1, 2022 to present Neurodevelopmental centers fee schedule, July 1, 2021 to June 30, 2022 Neurodevelopmental centers fee schedule, January 1, 2021 to June 30, 2021 Neurodevelopmental centers fee schedule, View all neurodevelopmental centers fee schedules, January 1, 2019 to March 31, 2019 Nondurable medical supplies and equipment billing guides, July 1, 2018 to December 31, 2018 Nondurable medical supplies and equipment billing guides, View all nondurable medical supplies and equipment billing guides, January 1, 2019 to March 31, 2019 Nondurable medical supplies and equipment fee schedule, January 1, 2023 to present Nursing facilities billing guide, October 1, 2022 to December 31, 2022 Nursing facilities billing guide, July 1, 2022 to September 30, 2022 Nursing facilities billing guide, View all nursing facilities billing guides, January 1, 2023 to present Orthodontic services billing guide, October 1, 2022 to December 31, 2022 Orthodontic services billing guide, July 1, 2022 to September 30, 2022 Orthodontic services billing guide, View all orthodontic services billing guides, August 1, 2022 to present Outpatient hospital services billing guide, July 1, 2022 to July 31, 2022 Outpatient hospital services billing guide, April 1, 2022 to June 30, 2022 Outpatient hospital services billing guide, January 1, 2023 to present OPPS fee schedule, October 1, 2022 to December 31, 2022 OPPS fee schedule, July 1, 2022 to September 30, 2022 OPPS fee schedule, April 1, 2022 to June 30, 2022 OPPS fee schedule, January 1, 2022 to March 31, 2022 OPPS fee schedule, October 1, 2021 to December 31, 2021 OPPS fee schedule, August 1, 2022 to present Outpatient rehabilitation billing guide, July 1, 2022 to July 31, 2022 Outpatient rehabilitation billing guide, January 1, 2022 to June 30, 2022 Outpatient rehabilitation billing guide, View all Outpatient Rehabilitation Program billing guides, July 1, 2022 to present Outpatient rehabilitation fee schedule, July 1, 2021 to June 30, 2022 Outpatient rehabilitation fee schedule, January 1, 2021 to June 30, 2021 Outpatient rehabilitation fee schedule, View all Outpatient Rehabilitation Program fee schedules, July 1, 2022 to present Pharmacy Special Services fee schedule, July 1, 2021 to June 30, 2022 Pharmacy Special Services fee schedule, July 1, 2020 to June 30, 2021 Pharmacy Special Services fee schedule, View all pharmacy special services fee schedules, January 1, 2023 to present Physician-related services/health care billing guide, October 14, 2022 to December 31, 2022 Physician-related services/health care billing guide, October 1, 2022 to October 13, 2022 Physician-related services/health care billing guide, View all physician-related/professional services billing guides, January 1, 2023 to present Physician-related services fee schedules, October 1, 2022 to December 31, 2022 Physician-related services fee schedules, July 1, 2022 to September 30, 2022 Physician-related services fee schedules, View all physician-related/professional services fee schedules, January 1, 2023 to present Enhanced pediatric fee schedule, July 1, 2022 to December 31, 2022 Enhanced pediatric fee schedule, October 1, 2021 to June 30, 2022 Enhanced pediatric fee schedule, View all enhanced pediatric fee schedules, January 1, 2023 to present Enhanced adult primary care fee schedule, July 1, 2022 to December 31, 2022 Enhanced adult primary care fee schedule, October 1, 2021 to June 30, 2022 Enhanced adult primary care fee schedule, January 1, 2023 to present Opioid use disorder fee schedule, July 1, 2022 to December 31, 2022 Opioid use disorder fee schedule, July 1, 2021 to June 30, 2022 Opioid use disorder fee schedule, View all medication for opioid use disorder fee schedules, July 1, 2022 to present Conversion factors, July 1, 2021 to June 30, 2022 Conversion factors, July 1, 2020 to June 30, 2021 Conversion factors, Centers of Excellence: organ transplant facilities directory, January 1, 2023 to present Planned home births and births in centers billing guide, October 1, 2022 to December 31, 2022 Planned home births and births in centers billing guide, June 11, 2022 to September 30, 2022 Planned home births and births in centers billing guide, View all planned home births billing guides, January 1, 2023 to present Planned home births and births in centers fee schedule, July 1, 2022 to December 31, 2022 Planned home births and births in centers fee schedule, July 1, 2021 to June 30, 2022 Planned home births and births in centers fee schedule, View all planned home births fee schedules, July 1, 2022 to present Prenatal diagnosis genetic counseling fee schedule, July 2021 to June 30, 2022 Prenatal diagnosis genetic counseling fee schedule, July 1, 2020 to June 30, 2021 Prenatal diagnosis genetic counseling fee schedule, View all prenatal diagnosis genetic counseling fee schedules, January 1, 2023 to present Prescription drug program billing guide, April 1, 2022 to December 31, 2022 Prescription drug program billing guide, October 1, 2021 to March 31, 2022 Prescription drug program billing guide, January 1, 2023 to present Expedited authorization codes and criteria table, June 1, 2022 to December 31, 2022 Expedited authorization codes and criteria table, December 1, 2021 to May 31, 2022 Expedited authorization codes and criteria table, February 21, 2023 to present - Private duty nursing for children billing guide, July 1, 2022 to February 20, 2023 Private duty nursing for children billing guide, October 1, 2020 to June 30, 2022 Private duty nursing for children billing guide, View all private duty nursing for children billing guides, January 1, 2023 to present Private duty nursing fee schedule, January 1, 2020 to December 31, 2022 Private duty nursing fee schedule, July 1, 2016 to December 31, 2019 Private duty nursing fee schedule, January 1, 2023 to present Professional administered drug fee schedule, October 1, 2022 to December 31, 2022 Professional administered drug fee schedule, July 1, 2022 to September 30, 2022 Professional administered drug fee schedule, View all professional administered drugs fee schedules, July 1, 2022 to present Prosthetic and orthotic devices billing guide, April 1, 2022 to June 30, 2022 Prosthetic and orthotic devices billing guide, October 1, 2021 to March 31, 2022 Prosthetic and orthotic devices billing guide, View all prosthetic and orthotics billing guides, July 1, 2022 to present Prosthetic and orthotics fee schedule, October 1, 2021 to June 30, 2022 Prosthetic and orthotics fee schedule, July 1, 2021 to September 30, 2021 Prosthetic and orthotics fee schedule, View all prosthetic and orthotics fee schedules, August 1, 2022 to present Respiratory care billing guide, July 1, 2022 to July 31, 2022 Respiratory care billing guide, October 1, 2021 to June 30, 2022 Respiratory care billing guide, July 1, 2022 to present Respiratory care fee schedule, October 1, 2021 to June 30, 2022 Respiratory care fee schedule, July 1, 2021 to September 30, 2021 Respiratory care fee schedule, January 1, 2023 to present Rural health clinics billing guide, October 1, 2022 to December 31, 2022 Rural health clinics billing guide, August 1, 2022 to September 30, 2022 Rural health clinics billing guide, January 1, 2023 to present RHC encounter rates, October 1, 2022 to December 31, 2022 RHC encounter rates, July 1, 2022 to September 30, 2022 RHC encounter rates, January 1, 2023 to present RHC enhancement rates, October 1, 2022 to December 31, 2022 RHC enhancement rates, July 1, 2022 to September 30, 2022 RHC enhancement rates, October1, 2022 to present SBHS billing guide, July 1, 2022 to September 30, 2022 SBHS billing guide, October 1, 2021 to June 30, 2022 SBHS billing guide, July 1, 2022 to present SBHS fee schedule, October 1, 2021 to June 30, 2022 SBHS fee schedule, July 1, 2021 to September 30, 2021 SBHS fee schedule, January 1, 2023 to present Sleep centers billing guide, July 1, 2022 to December 31, 2022 Sleep centers billing guide, October 1, 2020 to June 30, 2022 Sleep centers billing guide, January 1, 2023 to present Sleep centers fee schedule, July 1, 2022 to December 31, 2022 Sleep centers fee schedule, July 1, 2021 to June 30, 202 Sleep centers fee schedule, January 1, 2023 to Present Sterilization billing guide, October 1, 2022 to December 31, 2022 Sterilization billing guide, July 1, 2022 to September 30, 2022 Sterilization supplemental billing guide, Physician-related/Professional Services Billing Guide, Sterilization Consent Form (HHS-687) (English), Sterilization Consent Form (HHS-687) English large print, Sterilization Consent Form (HHS-687-1) (Spanish), Sterilization Consent Form (HHS-687-1) Spanish large print, January 1, 2023to present Substance use disorder billing guide, October 1, 2022 to December 31, 2022 Substance use disorder billing guide, July 1, 2022 to September 30, 2022 Substance use disorder billing guide, View all SUD (FFS outside BHO process) billing guides, July 1, 2022 to present Substance use disorder fee schedule, October 1, 2021 to June 30, 2022 Substance use disorder fee schedule, January 1, 2021 to September 30, 2021 Substance use disorder fee schedule, View all substance use disorder fee schedules, January 1, 2023 to present Substance-Using Pregnant People (SUPP) Program billing guide, February 26, 2023 to present - Telemedicine billing guide, January 1. The legislation indicated that the code changes should take place on 12/01/2021, which brings us to the situation where we are today. This table is provided as information only for provider reference, and does not reflect current reimbursement rates. For step-by-step instructions on completing a PA, visit our Prior authorization (PA) page. hb```,@(qiem!aL=(:h ?30n,- kq]P.S5v(f`Z10c`t3j+Q % Right now . We will use this information to improve this page. Use the ProviderOne portal to see if a client is eligible for the service and the billing guides and fee schedules to determine if a PA is required. Current Contracted Rate (Per Diem) Grafton Integrated Health Network MN PRTF. 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. Optum Marylandhas provided a listing of Mental Health, Substance Use Disorder and other specific levels of care by fee schedules for Providers to use. Additional information will be provided in future articles on TMHP.com. A webinar is planned in the future for the public regarding the new benefit. Vision hardware fee schedule is available through the ESD contract. This product includes CDT, which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable, which was developed exclusively at private expense by the American Dental Association, 211 East Chicago Avenue, Chicago Illinois, 60611. 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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