sud fee schedule 2020

DMAS is the agency that administers Medicaid and the State Childrenâs Health Insurance Program (CHIP) in Virginia. Questions? See Physician-related/professional services.). * ASAM 3.1 will only be reimbursed if the member is concurrently receiving ASAM 2.1 or 2.5. These staff members The remainder of the DMEPOS codes can be found under the Health First Colorado Fee Schedule drop-down. endstream endobj startxref How do providers identify the correct payer? Durable Medical Equipment Fee Schedule (2019) Durable Medical Equipment Fee Schedule (2020) Durable Medical Equipment Fee Schedule (2021) Additional information regarding the UPL can be found in this letter to providers. January 1, 2021 to present â Opioid Use Disorder fee schedule (published December 23, 2020) July 1, 2020 to December 31, 2020 â Opioid Use Disorder fee schedule (published June 29, 2020) July 1, 2019 to June 30, 2020 â Opioid Use Disorder fee schedule (published June 24, 2019) View all medication for opioid use disorder fee schedules Adjusted Bunker Adjustment Factor (BAF) & Environmental Fuel Fee (EFF) Levels â eff. Under the old policy, travellers booked on 1 to 5 night long itineraries could cancel up to 60 days prior to departure without cancelation fee. Substance Use Disorder (SUD) SUD Rate Schedule (rev) eff: 08/10/20 Last Updated: Aug 11, 2020 File Size: 156.47 KB SUD Treatment Rate Schedule eff: 06/01/20 Last Updated: Jun 22, 2020 File Size: 167.9 KB hÞbbd```b``«@$%XÄÌÎ| í8=D²H}0Û¬þ>X,Ë¨f_Ë6Èv{©÷H2ºÿ/e2012°Æíe`$üÏð×ø@ 4.F For items related to telehealth, CMS ... (SUD) or co-occurring mental health conditions. These are large and complex documents. Table 5: List of FY21 MS-DRGs, Relative Weights (Effective October 1, 2020) Fee-for-service maximum allowable rates for medical and dental services: Fee-for-service substance use disorder treatment rate increases, effective October 1, 2019: File specifications for FFS medical-dental fee schedule: OHP Fee-For-Service Behavioral Health Fee Schedule: Oregon Medicaid Vaccines for Children administration codes and rates For fee schedule and rate questionsEmail: ProfessionalRates@hca.wa.gov, For all other provider questionsMedical Assistance Customer Service Center (MACSC)Online: web formPhone: 1-800-562-3022, Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Family is covered when the unexpected happens, Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Employer groups and Educational Service Districts, Educational Service Districts monthly premiums, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. The current Medical Assistance rates for mental health services fee-for-service (FFS) rates for mental health services are included in the below table and are updated to reflect the most current maximum allowed, FFS rate for the code. Our mission at DMAS is to provide a system of high quality and cost effective â¦ The CHIP program in Virginia is called Family Access to Medical Insurance Security(Famis). This guide was discontinued July 1, 2020 . The table also explains when services are reimbursed at an adjusted rate in certain circumstances. Effective October 1, 2019 July 1, 2020 . 1516 0 obj <>stream This page contains billing guides, fee schedules, and additional billing materials to help you submit: Notice: Past billing guides may have broken links. Providers are to charge their reasonable and customary charge regardless of the anticipated reimbursement from the department. Home Health Services Fee Schedule - March 10, 2020 - EXCEL Home Health Services Fee Schedule - March 10, 2020 - PDF Home Health Services Fee Schedule - April 1, 2018 - EXCEL All agency-contracted managed care organizations (MCOs) and the fee-for-service (FFS) program use the Apple Health PDL. %%EOF Box 99 Marion, TX 78124 Phone: 830-914-2330 Fax: 830-420-4138 barÈme des honoraires transaction en vigueur au 23/09/2020 prix de vente net vendeur pour les biens a usage dâhabitation forfait ttc* charge acquÉreur jusquâà 40 000 â¬ 3 000 â¬ ... bareme des honoraires gestion en vigueur au 23/09/2020 If this occurs, please refer to the most recent guide. DENTAL and LABORATORY INFORMATION . Mass Adjustment of the 2020 Behavioral Health and Substance Abuse Fee Schedule (Feb. 3, 2021) Because the 2020 Behavioral Health and Substance Abuse Fee Schedule was not implemented until Nov. 13, 2020, DMS must mass adjust claims back â¦ Welcome to the Department of Medical Assistance Servicesâ (DMAS) homepage. This fee schedule includes reimbursement information for providers that bill services using professional claims and dental claims reimbursed under the fee-for-service (FFS) delivery system. March 1, 2020 Dear customer, As per our official announcement from January 21, 2020, Read more 2020 â¦ On August, 3 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021.. Fee Schedule and Rates. The calendar year (CY) 2021 PFS proposed rule is one of several proposed rules â¦ For most providers and most participants, twelve times a year will be sufficient. West is now Intrado. Before you provide certain services, you will need to submit authorization request forms. Cannot be H0016 - Medication-Assisted Therapy (MAT) Intake first week of enrollment $356.41 See Below* H0016 HG Medication-Assisted Therapy (MAT) per week $127.29 None Green Valley Special Utility District P.O. Proposed SUD Non-Medicaid Provider Fee Schedule Effective 10/1/2019 7/1/2020 Proposed Substance Use Disorder Non-Medicaid Provider Fee Schedule . For Apple Health clients and clients of the Developmental Disabilities Administration. hÞb```¢u¬|Ç@(ÊÂÀÑÀ À °=²eÓ3ÝU\fO (s1z¾ÅI©÷bKà. 2020 National Physician Fee Schedule Relative Value File (RVU20) 2019 National Physician Fee Schedule Relative Value File (RVU19) 2018 National Physician Fee Schedule Relative Value File (RVU18) Hospital Inpatient: MS-DRG. Visit our Forms and publications page to download authorization forms. No fee schedules, basic unit, relative value or related listings are included in CPT. Medication-Assisted Therapy (MAT) Procedure Code Modifier 1 Description Unit Rate Limits . 1486 0 obj <> endobj Stay up-to-date with rate and billing changes, and ProviderOne system changes. Nebraska Medicaid provider rates and fee schedules available in PDF and Excel format Fax the request to: 866-668-1214. For step-by-step instructions on completing a PA, visit our Prior authorization (PA) page. After you complete a service, you file claims through the ProviderOne portal. The following fee schedules will now be effective April 1st through March 31st starting in calendar year (CY) 2019: Physician's (RBRVS) Fee Schedule Clinical Lab Fee Schedule The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. Medical_Fee_Schedule.pdf : Adobe Portable Document Format: Medical_Fee_Schedule.csv : Comma Separated Values: Dental_Fee_Schedule.pdf : Adobe Portable Document Format: Dental_Fee_Schedule.csv : Comma Separated Values: ASC Fee Schedule (Excel) Kentucky Medicaid Fee-For-Service Behavioral Health & Substance Abuse Services Outpatient (Non-Facility) Fee Schedule Effective January 1, 2020, Revised July 1, 2020 _____ PLEASE CONTINUE TO USE THE ADDITIONAL HF MODIFIER FOR ALL SUD SERVICES FOR TRACKING PURPOSES Cannot bill with H0014. PMHS 1915(i) Fee Schedule (Eff-07-01-20) PBHS SUD Fee Schedule (Eff-07-01-20) PBHS Gambling Fee Schedule (Eff-07-01-20) PBHS SUD-Gambling Fee Schedule (Eff-07-01-20) PBHS SUD Gambling Residential (Eff-07-01-20) State Fiscal Year 2020 (Effective July 1, 2019 - June 30, 2020) PMHS PRP Billing Cascade (Eff-07.01.19 - 06.30.20).pdf Do you need a barcode cover sheet? ... New SUD procedure codes Procedure code 96153 was replaced with 96164 and 96165. The following items are found in other guides and no longer listed separately: 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. Coronavirus (COVID-19)—provider information, billing and policy, and telemedicine: Please see our Information about novel coronavirus (COVID-19) webpage for daily updates regarding COVID-19. 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. (Fee-for-Service) January 1, 2020 . See Inpatient Prospective Payment System (IPPS) on the Hospital reimbursement page. Use our billing guides and fee schedules to determine if a PA is required and assist in filing claims. See Access to Baby and Child Dentistry (ABCD). Headquartered in Omaha, Nebraska, we process billions of minutes in voice-related transactions every year. March 1, 2020 Dear customer, As per our official announcement from January 21, 2020, Read more 2020 â¦ Due to COVID-19, HCA’s lobby is closed. Refer to the current Physician-related/professional services for information regarding blood, blood products, and related services. Do you need a PA form? For questions about rates or fee schedules, email ProfessionalRates@hca.wa.gov. %PDF-1.6 %âãÏÓ Substance Use Disorder Treament Services Fee Schedule as of 10/1/2020 Inclusion or exclusion of a procedure code, supply, product, or service does not imply Medicaid coverage, reimbursement, or lack thereof. The following fee schedules are applicable for dates of service on or after 1/1/2016: Upstate HARP BH HCBS Fee Schedule â Updated 11-1-2019 Downstate HARP BH HCBS Fee Schedule â Updated 11-1-2019 Comments or questions about the information on this page can be directed to the Bureau of Financial Planning . 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January 1, 2021 to present — Neurodevelopmental centers billing guide, October 1, 2020 to December 31, 2020 — Neurodevelopmental centers billing guide, January 1, 2020 to March 31, 2020 — Neurodevelopmental centers billing guide, View all neurodevelopmental centers billing guides, January 1, 2021 to present — Neurodevelopmental centers fee schedule, July 1, 2020 to December 31, 2020 — Neurodevelopmental centers fee schedule, April 1, 2020 to June 30, 2020 — Neurodevelopmental centers fee schedule, View all neurodevelopmental centers fee schedules, Nondurable medical supplies and equipment, 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, 2018 to December 31, 2018 — Nondurable medical supplies and equipment fee schedule, View all nondurable medical supplies and equipment fee schedules, January 1, 2021 to present — Nursing facilities billing guide, October 1, 2020 to December 31, 2020 — Nursing facilities billing guide, April 1, 2020 to September 30, 2020 — Nursing facilities billing guide, View all nursing facilities billing guides, October 1, 2020 to present — Orthodontic service billing guide, February 8, 2020 to September 30, 2020 — Orthodontic service billing guide, January 1, 2020 to February 7, 2020 — Orthodontic service billing guide, View all orthodontic services billing guides, January 1, 2021 to present — Outpatient hospital services billing guide, October 1, 2020 to December 31, 2020 — Outpatient hospital services billing guide, July 1, 2020 to September 30, 2020 — Outpatient hospital services billing guide, January 1, 2021 to present — OPPS fee schedule, October 1, 2020 to December 31, 2020 — OPPS fee schedule, July 1, 2020 to September 30, 2020 — OPPS fee schedule, January 1, 2021 to present — Outpatient rehabilitation billing guide, October 20, 2020 to December 31, 2020 — Outpatient rehabilitation billing guide, October 1, 2020 to October 19, 2020 — Outpatient rehabilitation billing guide, View all Outpatient Rehabilitation Program billing guides, January 1, 2021 to present — Outpatient rehabilitation fee schedule, July 1, 2020 to December 31, 2020 — Outpatient rehabilitation fee schedule, April 1, 2020 to June 30, 2020 — Outpatient rehabilitation fee schedule, View all Outpatient Rehabilitation Program fee schedules, May 22, 2020 to November 16, 2020 - Social services blanket codes, Pharmacy special services, vaccine administration, and compliance packaging, July 1, 2020 to present — Pharmacy Special Services fee schedule, July 1, 2019 to June 30, 2020 — Pharmacy Special Services fee schedule, July 1, 2018 to June 30, 2019 — Pharmacy Special Services fee schedule, View all pharmacy special services fee schedules, February 1, 2021 to present — Physician-related services/health care billing guide, January 1, 2021 to January 31, 2021 — Physician-related services/health care billing guide, October 1, 2020 to December 31, 2020 — Physician-related services/health care billing guide, View all physician-related/professional services billing guides, January 1, 2021 to present — Physician-related services fee schedules, October 1, 2020 to December 31, 2020 — Physician-related services fee schedule, July 1, 2020 to September 30, 2020 — Physician-related services fee schedule, View all physician-related/professional services fee schedules, January 1, 2021 to present — Enhanced pediatric fee schedule, July 1, 2020 to December 31, 2020 — Enhanced pediatric fee schedule, January 1, 2020 to June 30, 2020 — Enhanced pediatric fee schedule, View all enhanced pediatric fee schedules, January 1, 2021 to present — Opioid Use Disorder fee schedule, July 1, 2020 to December 31, 2020 — Opioid Use Disorder fee schedule, July 1, 2019 to June 30, 2020 — Opioid Use Disorder fee schedule, View all medication for opioid use disorder fee schedules, July 1, 2020 to present — Conversion factors, July 1, 2019 to June 30, 2020 — Conversion factors, July 1, 2018 to June 30, 2019 — Conversion factors, Planned home births and births in birth centers, January 1, 2021 to present — Planned home births and births in centers billing guide, October 1, 2020 to December 31, 2020 — Planned home births and births in centers billing guide, July 1, 2020 to September 30, 2020 — Planned home births and births in centers billing guide, View all planned home births billing guides, July 1, 2020 to present — Planned home births and births in centers fee schedule, April 1, 2020 to June 30, 2020 — Planned home births and births in centers fee schedule, October 25, 2019 to March 31, 2020 — Planned home births and births in centers fee schedule, View all planned home births fee schedules, View all Prenatal genetic counseling billing guides, July 1, 2020 to present — Prenatal diagnosis genetic counseling fee schedule, July 1, 2017 to June 30, 2020 — Prenatal diagnosis genetic counseling fee schedule, January 1, 2021 to present - Prescription drug program billing guide, October 1, 2020 to December 31, 2020 - Prescription drug program billing guide, August 6, 2020 to September 30, 2020 - Prescription drug program billing guide, December 1, 2020 to present - Expedited authorization codes and criteria table, July 1, 2020 to November 30, 2020 — Expedited authorization codes and criteria table, January 1, 2020 to June 30, 2020 — Expedited authorization codes and criteria table, November 1, 2019 to December 31, 2019 — Expedited authorization codes and criteria table, October 1, 2020 to present - Private duty nursing for children billing guide, July 17, 2020 to September 30, 2020 - Private duty nursing for children billing guide, January 1, 2020 to July 16, 2020 — Private duty nursing for children billing guide, View all private duty nursing for children billing guides, January 1, 2020 to present — Private duty nursing fee schedule, July 1, 2016 to December 31, 2019 — Private duty nursing fee schedule, January 1, 2021 to present — Professional administered drug fee schedule, October 1, 2020 to December 31, 2020 — Professional administered drug fee schedule, July 1, 2020 to September 30, 2020 — Professional administered drug fee schedule, View all professional administered drugs fee schedules, January 1, 2021 to present — Prosthetic and orthotic devices billing guide, October 1, 2020 to December 31, 2020 — Prosthetic and orthotic devices billing guide, July 1, 2020 to September 30, 2020 — Prosthetic and orthotic devices billing guide, View all prosthetic and orthotics billing guides, October 1, 2020 to present — Prosthetic and orthotics fee schedule, July 1, 2020 to September 30, 2020 — Prosthetic and orthotics fee schedule, January 1, 2020 to June 30, 2020 — Prosthetic and orthotics fee schedule, View all prosthetic and orthotics fee schedules, May 22, 2020 to November 16, 2020 — Social services blanket codes, October 1, 2020 to present — Respiratory care billing guide, April 1, 2020 to September 30, 2020 — Respiratory care billing guide, January 1, 2020 to March 31, 2020 — Respiratory care billing guide, October 1, 2020 to present — Respiratory care fee schedule, July 1, 2020 to September 30, 2020 — Respiratory care fee schedule, April 1, 2020 to June 30, 2020 — Respiratory care fee schedule, January 1, 2021 to present — Rural health clinics billing guide, October 1, 2020 to December 31, 2020 — Rural health clinics billing guide, July 1, 2020 to September 30, 2020 — Rural health clinics billing guide, January 1, 2021 to present — Encounter rates, October 1, 2020 to December 31, 2020 — Encounter rates, July 1, 2020 to September 30, 2020 — Encounter rates, January 1, 2021 to present — RHC enhancement rates, October 1, 2020 to December 31, 2020 — RHC enhancement rates, July 1, 2020 to September 30, 2020 — RHC enhancement rates, October 1, 2020 to present--SBHS billing guide, August 1, 2020 to September 30, 2020 - SBHS billing guide, January 1, 2020 to July 31, 2020 — SBHS billing guide, July 1, 2020 to present — SBHS fee schedule, January 1, 2020 to June 30, 2020 — SBHS fee schedule, July 1, 2019 to December 31, 2019 — SBHS fee schedule, October 1, 2020 to present — Sleep centers billing guide, January 1, 2020 to September 30, 2020 — Sleep centers billing guide, October 1, 2019 to December 31, 2019 — Sleep centers billing guide, July 1, 2020 to present — Sleep centers fee schedule, January 1, 2020 to June 30, 2020 — Sleep centers fee schedule, July 1, 2019 to December 31, 2019 — Sleep centers fee schedule, January 1, 2021 to present - Sterilization supplemental billing guide, October 1, 2020 to December 31, 2020 — Sterilization supplemental billing guide, July 1, 2020 to September 30, 2020 — Sterilization supplemental billing guide, Physician-related/Professional Services Billing Guide, Sterilization Consent Form (HHS-687) (English), Sterilization Consent Form (HHS-687-1) (Spanish), January 1, 2021 to present — Substance use disorder billing guide, August 1, 2020 to December 31, 2020 — Substance use disorder billing guide, July 1, 2020 to July 31, 2020 — Substance use disorder billing guide, View all SUD (FFS outside BHO process) billing guides, January 1, 2021 to present — Substance use disorder fee schedule, October 1, 2020 to December 31, 2020 — Substance use disorder fee schedule, January 1, 2020 to September 30, 2020 — Substance use disorder fee schedule, View all substance use disorder fee schedules, January 1, 2021 to present — Tribal health billing guide, October 1, 2020 to December 30, 2020 — Tribal health billing guide, April 1, 2020 to September 30, 2020 — Tribal health billing guide, View all Tribal Health Program billing guides, January 1, 2021 to present — Tribal health program fee schedule, April 1, 2020 to December 31, 2020 — Tribal health program fee schedule, January 1, 2020 to March 31, 2020 — Tribal health program fee schedule, Vision hardware for clients 20 years of age and younger, October 1, 2020 to present — Vision hardware billing guide, July 1, 2020 to September 30 2020 — Vision hardware billing guide, April 1, 2020 to June 30, 2020 — Vision hardware billing guide, Guidance for hospitals in billing MCOs for services provided to newborns, Website feedback: Tell us how we’re doing, Children’s mental health services and psychology (see, Interpreter services (no billing guide, see our, Occupational therapy, physical therapy, and speech/audiology (see, (Fee-for-service benefits provided outside of the BHO process). For previous versions, email us applehealthpharmacypolicy@hca.wa.gov. The single consent must now be obtained at least once per year, as opposed to the previous requirement of once per service, which is welcome news to industry members. Use the billing guides and fee schedules to find rate information and the ProviderOne Billing and Resource Guide to walk through the claims process. Vision hardware fee schedule is available through the ESD contract. The consent must also include the â¦ On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. ND Medicaid Partial Hospitalization (PHP) Fee Schedule (7/01/2020) ND Medicaid Professional Services Fee Schedule (7/1/2020 - updated 8/31/2020) ND Medicaid Rehab Services Fee Schedule (7/1/2020) ND Medicaid Substance Use Disorder Treatment Services Fee Schedule (10/1/2020) ND Medicaid Vaccine Fee Schedule (8/1/2020) Previous Fee Schedules - 2019