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Fee Schedule Updates

23 Jul 2019 3:56 PM | Zachary Edgar (Administrator)

Alabama

Medicaid

Physician Fee Schedule – July 1, 2019

Hospital Outpatient Fee Schedule – July 1, 2019

Patient 1st and Health Home Case Management Fee Schedule – December 21, 2017

Workers Compensation

2019 Physical Therapy Fee Schedule

2019 Physicians Fee Schedule

2019 Home Health Fee Schedule

Arizona

Medicaid

Medicine and Professional Medical Services - Effective October 1, 2018

Home and Community Based Services (HCBS) – Effective January 1, 2019

Workers Compensation

Physical Medicine - CPT® 97001 - 98969   

2018 Fee Schedule Physical Medicine Codes

California

Medicaid

Medi-Cal Rates as of 7/15/2019

Occupational Therapy: Billing Codes and Reimbursement Rates

Physical Therapy: Billing Codes and Reimbursement Rates

           

Home and Community-Based Services (HCBS) Billing Codes and Reimbursement Rates

Home Health Agencies (HHA) Billing Codes and Reimbursement Rates

Workers Compensation

§ 9789.15.4. Physical Medicine/Chiropractic/Acupuncture Multiple Procedure Payment Reduction; Pre-Authorization for Specified Procedure/Modality Services.

Colorado

Medicaid

January 2019 Fee Schedule

Workers Compensation

2019 CO WC Medical Fee Schedule

Florida

Medicaid

Physical Therapy Services Fee Schedule – Effective January 1, 2018

PT Updated Fee Schedule 2019

Occupational Therapy Services Fee Schedule – Effective January 1, 2018

OT Updated Fee Schedule 2019

Home Health Visit Services Fee Schedule – January 1, 2018

2019 Updated Fee Schedule

Workers Compensation

Florida Workers' Compensation Health Care Provider Reimbursement Manual, 2016 Edition (Effective 07/01/2017)

Download Part C - (Text Copy)  (Excel Copy)  
Part C establishes the reimbursement amounts for services provided by physicians, physical and occupational therapists, athletic trainers, audiologists, and psychologist providers of non-surgical procedures and services. Physician assistants and advanced registered nurse practitioners shall be paid 85% of the MRA in Part C when directly performing the non-surgical service or procedure.

Georgia

Medicaid

Schedule Max All Payments Physician – July 2019

Schedule of Maximum Allowable for Outpatient Service (Site of Service Differential) – July 2019

Medicaid Orthotic & Prosthetic (O&P) Services Fee Schedule – July 2019

Workers Compensation

WC Medical Fee Schedule for purchase

Illinois

Medicaid

Therapy Fee Schedule – January 1, 2019

Home Health Fee Schedule – August 1, 2018

School Based Health Services Fee Schedule – June 6, 2018

Workers Compensation

Fee Schedule lookup tool

Indiana

Medicaid

Professional Fee Schedule – July 13, 2019

Outpatient Fee Schedule – Effective July 1, 2019

Workers Compensation

Massachusetts

Medicaid

Medicine – March 1, 2018

Home Health Services – Effective July 12, 2019

Home and Community Based Services Waivers – Effective April 1, 2018

Workers Compensation

Rates for Services – April 1, 2009

Home Health Services - Effective July 12, 2019

Maryland

Medicaid

2019 Professional Services Fee Schedule – Effective July 1, 2019

Workers Compensation

Workers Compensations Rates - Updated 6/3/2019

Michigan

Medicaid

Occupational Therapy – April 2019

Physical Therapy – April 2019

Home Health – January 2019

Revenue Code Requirement Table

Workers Compensation

Health Care Service Rates – Effective January 8, 2019

Missouri

Medicaid

Workers Compensation

New Jersey

Medicaid

Rates – 2019 3rd Quarter

Outpatient Hospital Rates - 2019

Home Health Agency Rates

Workers Compensation

New York

Medicaid

Physical and Occupational Therapy - 2019

CHHA Episodic Payment Billing Guidelines 

Workers Compensation

Medical Care Fee Schedules – July 2019

North Carolina

Medicaid

Multiple Independent Practitioners - Apr. 2019

Occupational Therapists - May 2019

Physical Therapists - May 2019

Home Health Services – April 1, 2018

Workers Compensation

Professional Services – April 30, 2015

Ohio

Medicaid

Medicine, Surgery, Radiology, Therapies – 7/1/2019

Home Health – January 1, 2017

Workers Compensation

Fee Schedule Lookup Tool

Oregon

Medicaid

Medical and Dental – June 2019

Workers Compensation

Oregon WC Fee Schedule – April 1, 2019

Pennsylvania

Medicaid

Pennsylvania Medicaid Fee Schedule Tool

Workers Compensation

Tennessee

Medicaid

No FFS Fee Schedules

Workers Compensation

Workers Compensation Fee Handbook

Texas

Medicaid

Occupational Therapy – 7/17/2019

Physical Therapy – 7/17/2019

Home Health Agency – 7/17/2019

Workers Compensation

Commissioner’s Bulletin # B-0017-18 - Annual Change to the Medical Fee Guideline Conversion Factors as Established in Title 28 Texas Administrative Code (TAC) §134.203

2019 Conversion Factors

Virginia

Medicaid

Virginia Medicaid Fee Schedule Tool

Workers Compensation

 Virginia Medical Fee Schedules – January 1, 2018

Washington

Medicaid

July 1, 2019 to present — Habilitative services

July 1, 2019 to present — Outpatient rehabilitation fee schedule

July 1, 2019 to present — SBHS fee schedule

July 1, 2019 to present — Home health fee schedule

Workers Compensation

2019 Fee Schedules and Payment Policies


About Me

Zachary Edgar JD, LLM is the managing partner for Therapy Comply.  Zachary is a healthcare attorney that specializes in federal and state healthcare regulatory issues particularly for physical, occupational, and speech therapy practices.  

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