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Rate Packets

Title Proposed Effective Date Packet Updated Attachments
Prescribed Pediatric Extended Care Center - 01/22/2016 November 01, 2016
Prescribed Pediatric Extended Care Center - 01/22/2016
11-2016-ppecc.pdf (12.73 KB)
Prescribed Pediatric Extended Care Center - 11/14/2016 November 01, 2016
Prescribed Pediatric Extended Care Center - 11/14/2016
11-2016-ppecc2.pdf (18.95 KB)
Biennial Calendar Fee Review October 01, 2016
Biennial Calendar Fee Review Attachments
Medicaid Hospice October 01, 2016
Medicaid Hospice
10-2016-hospice.pdf (477.05 KB)
Medical Policy Review of Gynecological and Reproductive Health Services October 01, 2016
Medical Policy Review of Gynecological and Reproductive Health Services
10-2016-mprgrhs.pdf (92.62 KB)
24 Hour Residential Child Care Foster Care Redesign September 01, 2016
24 Hour Residential Child Care Foster Care Redesign
Comprehensive Rehabilitation Services Program September 01, 2016
Comprehensive Rehabilitation Services Program
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Comprehensive Rehabilitation Services Program Attachments
Small and Large, State Operated Intermediate Care Facilities for Individuals with an Intellectual Disability and Related Conditions (ICF/IID) September 01, 2016
Small and Large, State Operated Intermediate Care Facilities for Individuals with an Intellectual Disability and Related Conditions (ICF/IID)
09-2016-idd.pdf (77.5 KB)
Physical, Occupational, and Speech Therapy provided by Comprehensive Outpatient Rehabilitation Facilities/Outpatient Rehabilitation Facilities (CORF/ORF), Home Health Agencies (HHA), and Independent Therapists July 15, 2016
Physical, Occupational, and Speech Therapy provided by Comprehensive Outpatient Rehabilitation Facilities/Outpatient Rehabilitation Facilities (CORF/ORF), Home Health Agencies (HHA), and Independent Therapists
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Independent Therapists Attachments - Implementation effective December 15, 2016
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CORF/ORF Attachments
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HHA Attachments
07-2016-hha-att.pdf (416.18 KB)
Biennial Calendar Fee Review July 01, 2016
Biennial Calendar Fee Review Attachments
Additional Benefit Review of Remote Cardiovascular Telemetry (93229) July 01, 2016
Additional Benefit Review of Remote Cardiovascular Telemetry (93229)
07-2016-abrrct.pdf (103.27 KB)
Policy Review of Screening, Brief Intervention and Referral to Treatment (SBIRT) July 01, 2016
Policy Review of Screening, Brief Intervention and Referral to Treatment (SBIRT)
07-01-sbirt.pdf (81.1 KB)
Radiology Services July 01, 2016
Radiology Services
07-2016-radiology.pdf (242.14 KB)
Annual HCPCS Updates May 01, 2016
Annual HCPCS Updates
05-2016-hcpcs.pdf (52.64 KB)
Special Review of Adult Ophthalmological Services May 01, 2016
Special Review of Adult Ophthalmological Services
Peer Support in the Home Community-Based Services Adult Mental Health Program (HCBS-AMH) April 15, 2016
Peer Support in the Home Community-Based Services Adult Mental Health Program (HCBS-AMH)
04-2016-hcbsamh.pdf (11.98 KB)
Biennial Caldendar Fee Review April 01, 2016
Biennial Caldendar Fee Review Attachments
Review of Pathology and Laboratory Services - Urinalysis April 01, 2016
Review of Pathology and Laboratory Services - Urinalysis
Special Review of Ophthalmological Services April 01, 2016
Special Review of Ophthalmological Services
Youth Empowerment Services (YES) Waiver March 15, 2016
Youth Empowerment Services (YES) Waiver
03-2016-yes.pdf (11.42 KB)
Proposed Interim Payment Rates for State Veterans Homes March 01, 2016
Proposed Interim Payment Rates for State Veterans Homes
Annual HCPCS Updates January 01, 2016
HCPCS Attachments
Calendar Fee Review January 01, 2016
Calendar Fee Review
01-2016-cfr.pdf (183.1 KB)
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Calendar Fee Review Attachments
01-2016-cfr.zip (1.04 MB)
Diagnostic and Therapeutic Breast Procedures January 01, 2016
Diagnostic and Therapeutic Breast Procedures
01-2016-dtbp.pdf (98.3 KB)
Indian Health Services January 01, 2016
Indian Health Services