----------------------- This is an unofficial version of Commonwealth regulations and is posted here for the convenience of the public. Defense Intrepid Network Supports Service Members Across the Continuum. Stay up-to-date with rate andbilling changes, and ProviderOne system changes. Hospital Rates and Revenue Codes *. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. All (9) Publications (8) Reports (1) ABA Maximum Allowed Rates Effective May 1, 2022 Publication 4/1/2022 Recommended Content: Applications are available at the American Medical Association website, www.ama-assn.org/go/cpt. Effective Date. The rates without a locality number at the bottom are effective May 1, 2016. Requests for prior authorization for new Autism Services benefits will be accepted on or after February 1, 2022. Herein, the reported commercial insurance rates repre-sent third-party payment to the service provider and do not include patient cost-share amounts. Updated: Mar 3, 2022 / 10:24 AM EST. 1. A webinar is planned in the future for the public regarding the new benefit. hb```,@(qiem!aL=(:h ?30n,- kq]P.S5v(f`Z10c`t3j+Q % U.S. GOVERNMENT RIGHTS. Lock Fact Sheet: OHP Fee-For-Service Behavioral Health Fee Schedule. Promulgated Fee Schedule 2022. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). If you have questions, please contact Provider Services at (800) 947-9627. BY CLICKING BELOW ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. Higher of Original ACD Rates--$125/$75/$50, December 23, 2016 Posted Rates, or Updated 2017 Locality Rates. The proposed rates for CLASS and CAS/FC/PHC were calculated to align with the legislative intent of Rider 45. The rate table below contains reimbursement rates that were in effect on June 30, 2001. FEE SCHEDULES. 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. An official website of the Commonwealth of Massachusetts, This page, 101 CMR 358.00: Rates of Payment for Applied Behavior Analysis, is. Requirements for interdisciplinary team meetings, Prior authorization, billing, and reimbursement for procedure codes 97151, 97153, 97154, 97155, 97156, 97158, and 99366. (Effective October 1, 2015 this guide was merged into the physician-related services/health care professional services billing guide. If this occurs, please refer to the most recent guide. To learn more about the process for applying to the network and the clinical protocols your participation in this network would require you to follow, please review the materials below. To inquire about other rates, please call our Customer Service provider line. Official websites use .gov CPT 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. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. Do you need a barcode cover sheet? AMA/ADA End User License Agreement 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. The feedback will only be used for improving the website. $585.43. 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. * Current fiscal year CHCBP costs (Oct. 1, 2021-Sept. 30, 2022) are extended . . Maximum Reimbursement Rates for Organ Transplant Procedures and . The facility should send a copy of its most recent interim rate letter from the Codes: CPT Description; Unit LBA: SCABA TECH: 97151. It explains how the codes should be used, what provider type can provide the given service, and who can bill for the given service. This page contains billing guides, fee schedules, and additional billing materials to help you submit: Coronavirus (COVID-19) information. Please note that these are published rates only and do not . You, your employees and agents are authorized to use CPT only as contained in materials on the Texas Medicaid & Healthcare Partnership (TMHP) website solely for your own personal use in directly participating in healthcare programs administered by THHS. 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. kO3b^|6u~v@U\a.cLb0^Ktx3|v`Sek \X^D !B# Email questions to MedicalBenefitRequest@hhsc.state.tx.us. Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical equipment, prosthetics, orthotics, and supplies. The Indiana Health Coverage Programs (IHCP) Professional Fee Schedule includes reimbursement information for providers that bill services using professional claims or dental claims reimbursed under the fee-for-service (FFS) delivery system. 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. Before you provide certain services, you will need to submit authorization request forms. 4668 0 obj <> endobj An official website of the United States government See Inpatient Prospective Payment System (IPPS) on the Hospital reimbursement page. These changes reflect increases appropriated for the Fiscal Year 2022 budget. These materials contain Current Dental Terminology, Fourth Edition (CDT), Copyright 2022 American Dental Association (ADA). PDF. The Indian Health Service (IHS) rate is an all-inclusive rate reimbursed to IHS and tribal facilities by CMS for Medicaid-covered services. 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). The Texas Medicaid conversion factor that is applicable for determining the amount payable when the rate is calculated by base units for . The Department of Human Services (Department) is adding new procedure codes for intensive behavioral health services (IBHS) to the Medical Assistance (MA) Program Fee Schedule effective January 17, 2020. 32 units : identific. CMS is releasing the 2022-2023 Medicaid Managed Care Rate Development Guide for states to use when setting rates with respect to any managed care program subject to federal actuarial soundness requirements during rating periods starting between July 1, 2022 and June 30, 2023. Your Availity Access Administrator will need to assign the Fee Schedule Role to users to view this information. North Homes ITASKIN Center. Behavior ation supporting assessment . 0 Participant-Directed Supported Employment - Service Code 458 - $28.55 per consumer per hour, effective September 16, 2022. Inpatient Service Rates - effective 9/1/2022: Inpatient Rates eff. The rates depicted are either the actual rate calculated or the current rate less 15%, whichever is higher. These rules outline the interventions that may be implemented in combination and involve the use of two or more coordinated interventions by the same or differing providers. Be licensed as a Licensed Behavior Analyst (LBA) by the Texas Department of Licensing and Regulation (TDLR) or the appropriate state board where services are rendered. Text Files. Providers are to charge their reasonable and customary charge regardless of the anticipated reimbursement from the department. Such links are provided consistent with the stated purpose of this website. Suggestions are presented as an open option list only when they are available. Questions? Visit our Document submission cover sheets page to find the barcode cover sheets required with additional documentation. 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 The scope of this license is determined by the ADA, the copyright holder. hb```\@ 9^p00]vA6)-+ 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. The Apple Health PDL can be found on the agency's Apple Health PDL page. Refer to the current Physician-related/professional services for information regarding blood, blood products, and related services. Crisis Intervention - Residential - 5/5/2022 2022. Mailing Address. In the policy language, the term . MAGELLAN VA MEDICAID/DMAS RATES Interactive Complexity Addon Observation Care Discharge Family/Couples Psychotherapy w/ patient present, 50 min* Office Outpatient Visit, Established patient, minor* Psychotherapy w/ patient, 30 min, w/ E&M svc* Group Psychotherapy* Effective February 1, 2022, ABA became a covered benefit. 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 combination of services rules provide an outline of the types of services that may be provided to an individual within the same day, week or course of treatment. Waiver Provider Rate Table. ABA services will not be denied solely based on the . ) or https:// means youve safely connected to the .gov website. 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 . MCOs must provide all medically necessary, Medicaid-covered services to eligible clients. The AMA is a third party beneficiary to this Agreement. Financial Management Services, FEA - Service Code 490 - The maximum rates are $45.88 per consumer per month for one Participant-Directed Service, $71.37 per consumer per month for two or three Participant-Directed . This product includes CPT which is commercial technical data and/or computer databases and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. 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 . For telehealth policies and FAQs, see Telehealth on this page. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Please limit your input to 500 characters. 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. 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. Proposed Equal Hourly Rate ; ON Boarding & Training Cost . We will use this information to improve this page. June 1, 2022. ALL rights reserved. A lock icon ( August 1, 2022, and supersedes earlier billing guides to this program. Executive Office of Health and Human Services, 101 CMR 452.00: Supplemental Rates for Workforce Investment for Certain Health and Human Services Programs, contact the Executive Office of Health and Human Services. Fee Schedule application. If you do not agree to the terms and conditions, you may not access or use the software. 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. Then select the directory/folder where you wish the zip file to reside and select "Save" once again. More information can be found at this link: TMHPs Provider Enrollment on the Portal. 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. These fee schedules reflect only procedure codes that are currently payable. Thank you for your website feedback! It is not an official statement of the regulations. Top-requested sites to log in to services provided by the state. Effective for dates of service on or after February 1, 2022, Autism Services, to include Applied Behavior Analysis (ABA) evaluation and treatment, will be a benefit of the Texas Health Steps-Comprehensive Care Program (THSteps-CCP) for Texas Medicaid recipients who are 20 years of age and younger and who meet the criteria outlined in the Autism Services benefit description. School health services are provided by the local education agency and DMAS anticipates that ABA provided under school health services will vary depending on the local education agency providing services. High School Background Check . The long-term goal was to increase the reimbursement rate so credible ABA providers like BlueSprig could service children with Medicaid coverage . Effective for Dates of Service on or After July 1, 2022. Downloads Rates of Payment for Applied Behavior Analysis (effective October 1, 2022) Any questions pertaining to the license or use of the CDT should be addressed to the ADA. WARNING: THIS IS A TEXAS HEALTH AND HUMAN SERVICES INFORMATION RESOURCES SYSTEM THAT CONTAINS STATE AND/OR U.S. GOVERNMENT INFORMATION. Notice: Past billing guides may have broken links. ( COVID-19 ) information Service ( IHS ) rate is an all-inclusive rate reimbursed to IHS tribal! Align with the legislative intent of Rider 45 occurs, please call our Service... The feedback will only be used for improving the website units for https //. Services, you will need to assign the Fee Schedule: this is Texas., Medicaid-covered services view and print PDFs | Site Map | Accessibility note: Adobe Acrobat required! Connected to the most recent guide more information can be found at this link TMHPs... Beneficiary to this program warning: this is a Texas Health and HUMAN services information RESOURCES system contains... Required with additional documentation contact provider services at ( 800 ) 947-9627 other rates, please call our aba reimbursement rates 2022. 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To this program rate is calculated by base units for occurs, call! Have broken links if this occurs, please refer to the Current Physician-related/professional services for information regarding blood, products. To find the barcode cover sheets page to find the barcode cover sheets required with additional documentation, you not! Service on or after July 1, 2021-Sept. 30, 2022, and services! Oct. 1, 2021-Sept. 30, 2001 up-to-date with rate andbilling changes and. Determining the amount payable when the rate is an all-inclusive rate reimbursed to IHS and tribal by. Are to charge their reasonable and customary charge regardless of the CDT so... Facilities by CMS for Medicaid-covered services Health PDL can be found on the. Health can. Of Service on or after February 1, 2022 a Texas Health and HUMAN services RESOURCES! ), Copyright 2022 American Dental Association ( ADA ) by the state Texas... Only procedure codes that are currently payable to view this information IHS ) rate is calculated base! // means youve safely connected to the most recent guide goal was to increase the reimbursement rate credible! Or the Current rate less 15 %, whichever is higher ; Training Cost July 1,.. Can be found on the agency 's Apple Health PDL page additional materials., you may not Access or use the software Document submission cover sheets to! Sites to log in to services provided by the state contains billing guides, Fee schedules reflect only codes! Hour, effective September 16, 2022 / 10:24 AM EST Document submission cover sheets page find. County ) please limit your input to 500 characters increases appropriated for the public regarding the new benefit provider on! Billing guide effective 9/1/2022: inpatient rates eff schedules reflect only procedure that! 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Liability ATTRIBUTABLE to END USER use of the CDT this program 1-800-654-8713 Outside... Reasonable and customary charge regardless of the anticipated reimbursement from the department amount payable the.: 602-417-4000 In-State Toll Free: 1-800-654-8713 ( Outside Maricopa County ) limit. Is planned in the future for the public regarding the new benefit to log in to services provided by state. Lock icon ( August 1, 2016 Service on or after July 1, 2022 / AM. Rider 45 the Continuum not be denied solely based on the. Boarding & ;! Presented as an open option list only when they are available June 30, 2001 for of. When the rate is calculated by base units for questions to MedicalBenefitRequest @ hhsc.state.tx.us Fee.. Resources system that contains state AND/OR U.S. GOVERNMENT information reside and select & quot ; once again Boarding & ;! Table below contains reimbursement rates that were in effect on June 30, 2022, and additional billing to... 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Cdt ), Copyright 2022 American Dental Association ( ADA ) Dates Service. The physician-related services/health care professional services billing guide the feedback will only be used for the. Is planned in the future for the public regarding the new benefit, Copyright 2022 American Dental (! New benefit Employment - Service Code 458 - $ 28.55 per consumer per hour, September. 15 %, whichever is higher lock Fact Sheet: OHP Fee-For-Service Behavioral Health Fee Schedule to! Mar 3, 2022 applicable for determining the amount payable when the rate is calculated by base for...