Wisconsin

high

Max Fee Download

SUCCESS

Run Date and Time

Apr 01, 2026

56s

Run Metrics

New48
Changed0
Unchanged0
Checked48

Fee Schedule Impacts

High15
Medium13
Low20

Run summary

This run for Wisconsin ForwardHealth Max Fee / max-fee-download identified 0 changed documents and 48 newly discovered documents. 15 item(s) are high priority. 4 newly discovered item(s) appear current or upcoming.

High Impact (15)

WWWP_max_fee_20260301.txt

high

The document outlines new Medicaid reimbursement rates for the Wisconsin Well Woman Program, effective from July 1, 2024, and January 1, 2025, for various CPT codes.

Highlights

  • New rates for CPT codes 00400, 00940, 10004-10011 effective July 1, 2024.
  • Additional rates for CPT codes 87426, 87624-87626, 88141-88165 effective January 1, 2025.
  • Rates range from $18.19 to $386.87.
  • Effective dates are 20240701 and 20250101.

Reason

The document includes specific rate changes with upcoming effective dates, impacting reimbursement.

Watch items

CPT 00400CPT 10004Effective date 20240701Effective date 20250101

behav_max_fee_20260301.txt

high

The document outlines updated Medicaid rates for behavioral treatment services, including specific CPT codes and maximum fees effective from 2023.

Highlights

  • CPT 97151: Max fee $25.90, effective 2023-02-01
  • CPT 97152: Max fee $22.93, effective 2023-02-01
  • CPT 97154: Various max fees, effective 2022-12-01

Reason

The document includes specific rate changes for behavioral treatment services effective in 2023, impacting reimbursement.

Watch items

CPT 97151CPT 97152CPT 97154Effective date 2023-02-01Effective date 2022-12-01

PNCCC_max_fee_20260301.txt

high

The document outlines new Medicaid rates for child care coordination services, effective from February 1, 2023, to December 31, 2299. It includes specific rates for codes H1000, H1002, H1003, H1004, and T1016.

Highlights

  • New rates for child care coordination services.
  • Effective date: February 1, 2023.
  • Codes affected: H1000, H1002, H1003, H1004, T1016.
  • Rates range from $11.35 to $90.80.

Reason

The document contains new reimbursement rates effective immediately, impacting billing and reimbursement.

Watch items

H1000H1002H1003H1004T1016

AMBUL_max_fee_20260301.txt

high

The document includes updates to ambulance transport rates with specific CPT codes and effective dates. Notably, there are changes to the maximum fees for codes 90480, 90611, and others, with some rates effective from 2023 and others planned for 2025 and beyond.

Highlights

  • CPT code 90480 has a max fee of $15.00 effective 2025-10-01.
  • CPT code 90611 has a max fee of $247.34 effective 2026-02-01.
  • CPT code A0396 has a max fee of $41.07 effective 2023-02-01.
  • CPT code A0398 has a max fee of $23.96 effective 2023-02-01.

Reason

The document contains specific rate changes with effective dates impacting reimbursement.

Watch items

9048090611A0396A03982025-10-01

MIDWF_max_fee_20260301.txt

high

The document introduces new Medicaid reimbursement rates for licensed midwives, effective January 1, 2024. It includes specific CPT codes with associated maximum fees.

Highlights

  • New rates for licensed midwives effective 2024-01-01.
  • CPT codes 36415, 36416, 59025, 59400, and 99204 are included.
  • Maximum fees are specified for each code.
  • Rates are valid until December 31, 2299.

Reason

The document contains new reimbursement rates effective soon, impacting billing and reimbursement.

Watch items

3641536416590255940099204

HCRS_max_fee_20260301.txt

high

The document outlines changes to the reimbursement rates for home care-resp care (CPT 99504) with specific rates effective from 2026.

Highlights

  • CPT 99504 rates updated for home care-resp care.
  • New rates effective from 2026: $75.00 (modifier td), $61.05 (modifier te).
  • Current rates until 2025: $48.17 (modifier td), $32.11 (modifier te).

Reason

The document includes specific rate changes effective in the near future, impacting reimbursement.

Watch items

CPT 99504Effective date 20260101Rate $75.00Rate $61.05

DME_max_fee_20260301.txt

high

The document includes updates to Medicaid rates for durable medical equipment, with specific changes effective January 1, 2024, and January 1, 2025. Notable updates include new rates for codes K0855 and K0856.

Highlights

  • New rate for code K0855: $53.54 effective 2024-01-01
  • New rate for code K0856: $6830.67 effective 2025-01-01
  • Rates for codes 94762 and A4210 remain unchanged since 2008

Reason

The document contains new rate changes effective soon, impacting reimbursement.

Watch items

K0855K08562024-01-012025-01-01

MHCI_max_fee_20260301.txt

high

The document includes updates to Medicaid rates for mental health crisis intervention services, with specific CPT codes and fee changes effective from 2023 onward.

Highlights

  • CPT code 99281 for mental health crisis intervention has multiple fee variations.
  • CPT code H2011 for telehealth crisis intervention has updated fees.
  • Effective dates for these changes are from 2023 to 2299.
  • Different modifiers (hn, ho, hp, u7, ua) affect the fee amounts.

Reason

The document contains specific rate changes and effective dates that impact reimbursement policies immediately.

Watch items

CPT 99281CPT H2011Effective date 20230101Modifier hnModifier ua

MHIHP_max_fee_20260301.txt

high

The document introduces new Medicaid rates for mental health services, effective from August 1, 2024, to December 31, 2299. It includes specific CPT codes and maximum fees for various service modifiers.

Highlights

  • New rates for mental health services in home psychology.
  • Effective date: August 1, 2024.
  • CPT code 99199 with modifiers c37, hm, hn, ho.
  • CPT code H0004 with modifiers ua, ub.
  • CPT code H0022 with modifier hm.

Reason

The document specifies new reimbursement rates effective soon, impacting billing and reimbursement.

Watch items

CPT 99199CPT H0004CPT H0022Effective date: 20240801

MHAOD_max_fee_20260301.txt

high

The document includes updates to Medicaid rates for mental health services, specifically for CPT codes 80305, 90785, and 90846. The rates are effective from July 1, 2023, to December 31, 2299, with specified maximum fees.

Highlights

  • CPT code 80305 has a max fee of $12.60 effective from 2023-07-01.
  • CPT code 90785 has a max fee of $12.43 effective from 2022-01-01.
  • CPT code 90846 has a max fee of $91.46 and $121.95 effective from 2022-01-01.

Reason

The document contains specific rate changes effective immediately or soon, impacting reimbursement.

Watch items

8030590785908462023070120220101

OUTPA_max_fee_20260301.txt

high

The document provides updated Medicaid rates for outpatient hospital services, with specific CPT codes and maximum fees listed. The effective dates for these rates range from 2008 to 2025, with some rates effective as of July 1, 2025.

Highlights

  • New rates for outpatient hospital services.
  • Effective dates range from 2008 to 2025.
  • Specific CPT codes include 0464u, 78267, 80047, and others.
  • Maximum fees are specified for each code.

Reason

The document includes new rates effective July 1, 2025, impacting reimbursement.

Watch items

0464u782678004720250701

CHIRO_max_fee_20260301.txt

high

The document outlines new Medicaid reimbursement rates for chiropractic services, effective January 1, 2024. Several CPT codes have updated maximum fees, impacting future billing.

Highlights

  • CPT 72040: $35.07 effective 2024-01-01
  • CPT 72050: $49.09 effective 2024-01-01
  • CPT 72052: $61.56 effective 2024-01-01
  • CPT 72070: $31.45 effective 2024-01-01
  • CPT 73070: $25.68 effective 2024-01-01

Reason

The document includes specific rate changes effective soon, impacting reimbursement.

Watch items

20240101CPT 72040CPT 72050CPT 72052CPT 72070

SBS_max_fee_20260301.txt

high

The document outlines new Medicaid rates for school-based services, effective from August 11, 2025, to December 31, 2299. It includes specific CPT codes with associated maximum fees.

Highlights

  • New rates for school-based services effective August 11, 2025.
  • CPT codes 90846, 90847, 92507, 92508, 92521, 92522 included.
  • Rates range from $9.37 to $163.57.
  • Effective period extends to December 31, 2299.

Reason

The document contains new reimbursement rates effective soon, impacting billing and reimbursement.

Watch items

CPT 90846CPT 90847CPT 99202Effective date 20250811

MHNTS_max_fee_20260301.txt

high

The document outlines Medicaid rate updates for mental health narcotic treatment services, including new and existing CPT codes with specified maximum fees and effective dates.

Highlights

  • New rate for CPT 81025 effective 2024-01-01.
  • Existing rates for CPT 86580, 99001, and H0020 with various modifiers.
  • Rates effective until 2299-12-31 for most codes.
  • Specific maximum fees listed for each code.

Reason

The document includes new and existing rate changes with specific effective dates and fees, impacting reimbursement.

Watch items

810258658099001H002020240101

LAB_max_fee_20260301.txt

high

The document includes updates to Medicaid reimbursement rates for various medical laboratory services, with some changes effective from 2025.

Highlights

  • New rate for code 0464u effective 2025-07-01.
  • Rates for codes 80047, 80048, 80050, 86235, 86255, and 86256 are listed.
  • Code 86255 has a new rate effective 2025-01-01.

Reason

The document contains new reimbursement rates effective in 2025, impacting billing and reimbursement.

Watch items

0464u8004780048862552025-07-01
Medium Impact (13)

SPEC_max_fee_20260301.txt

medium

The document outlines new maximum fee rates for state-purchased eyeglasses, effective from September 1, 2025, to December 31, 2299. Rates for various codes such as v2020, v2100, and v2299 are specified.

Highlights

  • New rates effective from 2025-09-01 to 2299-12-31.
  • Includes codes v2020, v2100, v2101, v2102, v2219, v2220, v2221, v2299, v2300, v2301.
  • Rates range from $4.20 to $105.00.

Reason

The changes are not effective immediately but are relevant for future planning.

Watch items

v2020v2100v229920250901maxfee

MEDSV_max_fee_20260301.txt

medium

The document contains updates to Medicaid reimbursement rates for various medical services, with effective dates extending to 22991231. Notably, a new rate for service code 58300 is set to become effective on 20240701.

Highlights

  • New rates for service code 58300 effective 20240701.
  • Rates for codes 10004, 10005, and 10006 are listed with effective dates from 20190101 to 22991231.
  • Rates for codes 58292 and 58294 are effective from 20080701 to 22991231.

Reason

The document includes future rate changes, but the effective date is not imminent.

Watch items

58300 effective 20240701

MISC_max_fee_20260301.txt

medium

The document includes updates to Medicaid reimbursement rates for specific CPT codes, such as 0373T and 19300, with effective dates ranging from 2017 to 2023. These updates include maximum fee adjustments and applicable service locations.

Highlights

  • CPT code 0373T has a max fee of 18.34 effective from 20210101 to 22991231.
  • CPT code 19300 has multiple entries with max fees of 389.42 and 350.48, effective from 20170701 to 22991231.
  • CPT code 81415 has a max fee of 3824.00 effective from 20200101 to 22991231.

Reason

The document contains reimbursement rate updates, but the effective dates are not imminent, reducing urgency.

Watch items

0373T1930081415

AUDHA_max_fee_20260301.txt

medium

The document outlines Medicaid rates for hearing services, including specific CPT codes and maximum fees, effective from January 1, 2022, to December 31, 2299.

Highlights

  • CPT 69210: Max fee $35.35
  • CPT 92502: Max fee $122.22
  • CPT 92504: Max fee $24.10
  • CPT V5040: Max fee $32.53

Reason

The document contains current rate information but lacks imminent changes or new effective dates.

Watch items

692109250292504V5040

ASTSG_max_fee_20260301.txt

medium

The document contains Medicaid rate information for various medical procedures with effective dates from 2022 to 2299. It includes specific CPT codes and associated maximum fees.

Highlights

  • CPT code 12018 with max fee $57.90 and $51.60.
  • CPT code 12047 with max fee $54.80 and $49.32.
  • CPT code 12057 with max fee $107.74.
  • CPT code 35276 with max fee $296.48 and $266.83.
  • CPT code 35281 with max fee $210.24 and $189.21.

Reason

The document lists current rates but lacks imminent changes or new effective dates.

Watch items

CPT 12018CPT 12047CPT 12057CPT 35276CPT 35281

HCMCR_max_fee_20260301.txt

medium

The document introduces new entries for high-cost medical complexity codes G0506 and T2023 with specified maximum fees.

Highlights

  • New entry for code G0506 with max fee $1201.41.
  • New entry for code T2023 with max fee $434.24.
  • Effective date range: 20220101 to 22991231.

Reason

The document includes new entries with specific fees, but the effective date is not imminent.

Watch items

G0506T20231201.41434.2420220101

HHPC_max_fee_20260301.txt

medium

The document outlines Medicaid rate updates for home care services, including specific CPT codes and maximum fees effective from 2022 to 2025, with some rates extending to 2029.

Highlights

  • CPT code 92507: max fee $98.19 (2022-2029)
  • CPT code 97139: max fee $95.11 (2022-2029)
  • CPT code 97799: max fee $92.64 (2022-2029)
  • CPT code 99600: max fee $96.96 (2022-2025)
  • CPT code s9123: max fee $40.76 (2022-2025)

Reason

The document contains current rate information but no immediate changes or new effective dates.

Watch items

CPT code 92507CPT code 97139CPT code 97799CPT code 99600CPT code s9123

DTAOD_max_fee_20260301.txt

medium

The document outlines Medicaid rates for day treatment services related to alcohol and other drug abuse (AODA), with specific CPT/HCPCS codes and maximum fees listed. The effective dates range from July 1, 2008, to December 31, 2299, indicating long-term applicability.

Highlights

  • CPT code 80305 with max fee $12.60 effective from 2023-07-01.
  • CPT code H2012 with max fee $18.30 effective from 2008-07-01.
  • CPT code H2012 with modifier U6 and max fee $35.60 effective from 2008-07-01.

Reason

The document includes specific rate information but the effective dates are not imminent, reducing urgency.

Watch items

80305H2012U62023070120080701

C4K_max_fee_20260301.txt

medium

The document introduces a new Medicaid rate entry for the "care4kids" program with a specific code and fee.

Highlights

  • New entry for "care4kids" program.
  • Code: T1016.
  • Max fee: 16.70.
  • Effective date: 20220101 to 22991231.

Reason

The document includes a new rate entry, but the effective date is not imminent.

Watch items

T101616.7020220101

HOSPC_max_fee_20260301.txt

medium

The document contains new Medicaid rate updates for hospice services, specifically for codes G0155 and T2042, effective from October 1, 2025, to December 31, 2299.

Highlights

  • New rates for hospice code G0155 effective 2025-10-01.
  • New rates for hospice code T2042 effective 2025-10-01.
  • Rates range from $15.83 to $226.68.
  • Effective period is from 2025-10-01 to 2299-12-31.

Reason

The changes are relevant but not urgent as they are effective in 2025.

Watch items

G0155T20422025-10-01

CSMGT_max_fee_20260301.txt

medium

The document outlines new Medicaid case management rates for various codes, effective from 2022 and 2023, with expiration dates set far in the future.

Highlights

  • New rates for code G9012 with unspecified fee.
  • Rates for code H0001 set at $408.70, effective 2022-01-01.
  • Rates for code H0006 range from $161.33 to $1385.36, effective 2022-05-01.
  • Rates for code T1017 set at $11.98, effective 2023-02-01.

Reason

The document contains new rate information but the effective dates are not imminent.

Watch items

G9012H0001H0006T101720230201

WCDH_max_fee_20260301.txt

medium

The document outlines new Medicaid reimbursement rates for hemophilia home care services, with specific CPT codes and effective dates ranging from 2025 to 2026.

Highlights

  • New rates for CPT codes J7187, J7188, J7190, J7192, J7193, J7194, J7195, J7197, J7198.
  • Effective dates range from 2025 to 2026.
  • Rates include J7188 at $3.23 effective 2025-01-01.
  • Rates include J7190 at $1.11 effective 2026-01-01.

Reason

The changes are relevant but not immediately effective, with future dates starting in 2025.

Watch items

J7187J7188J7190J7194J7195

THERP_max_fee_20260301.txt

medium

The document contains updated Medicaid reimbursement rates for therapy services, including occupational, physical, and speech therapy, with effective dates from January 1, 2022, to December 31, 2299. Rates for specific codes such as 29065, 29075, and 97116 are provided.

Highlights

  • Updated rates for therapy services (OT/PT/Speech).
  • Effective dates: January 1, 2022, to December 31, 2299.
  • Codes include 29065, 29075, 97116.
  • Rates: 29065 at $77.13, 29075 at $53.73, 97116 at $21.29.

Reason

The document provides updated rates but the effective date is not imminent.

Watch items

2906529075971162022010122991231
Low Impact (20)

DMS_max_fee_20260301.txt

low

The document includes Medicaid rate updates for specific supply codes, with effective dates ranging from 2004 to 2012, extending to 2299.

Highlights

  • Rate for A4206: $0.22, effective 2004-01-01
  • Rate for A4207: $0.18, effective 2004-01-01
  • Rate for A4208: $0.17, effective 2004-01-01
  • Rate for A4550: $7.25, effective 2008-07-01
  • Rate for A4556: $4.05, effective 2012-03-01

Reason

The effective dates are historical, with no indication of recent changes.

Watch items

A4206A4207A4208A4550A4556

MHCSP_max_fee_20260301.txt

low

The document outlines Medicaid rates for mental health community support services, including specific CPT codes and maximum fees. The rates are effective from 20040101 to 22991231, indicating they are not newly updated but rather part of an ongoing schedule.

Highlights

  • CPT code H0034 with a max fee of 9.17
  • CPT code H0039 with various modifiers and fees
  • Effective date range from 20040101 to 22991231
  • Rates for mental health community support services

Reason

The document appears to be archival with no new changes or imminent effective dates.

bhic_max_fee_20260301.txt

low

The document lists Medicaid rates for specific codes with effective dates from 2014 to 2299, indicating these are not new changes but rather ongoing rates.

Highlights

  • Codes: H0038, S0280, S0281
  • Rates: $5.75, $473.64, $13.14
  • Effective: 20140401 to 22991231

Reason

The rates are historical with no indication of recent changes or urgency.

RDLGY_max_fee_20260301.txt

low

The document contains rate information for medical radiology services, including CPT codes 70010, 76775, and 76776, with specified maximum fees and modifiers. The effective dates range from 2008 to 2299, indicating these are not immediate changes.

Highlights

  • CPT code 70010 has multiple fee entries with different modifiers.
  • CPT code 76775 includes a maximum fee of 86.95 with an effective date starting 2008.
  • CPT code 76776 lists a maximum fee of 99.35, effective from 2008.

Reason

The document appears to be archival with effective dates starting in 2008, indicating no immediate changes.

MHPW_max_fee_20260301.txt

low

The document contains Medicaid rate information for specific codes, including 98961, 98962, H0002, and H0004, with effective dates ranging from 2008 to 2299. Rates are specified, but no immediate changes or new effective dates are indicated.

Highlights

  • Codes: 98961, 98962, H0002, H0004
  • Rates: $14.00, $12.95, $35.35, $20.23
  • Effective dates: 20080701 to 22991231
  • Modifiers: c53, hf, he

Reason

The document appears to be archival with no new or imminent changes impacting reimbursement.

WCDK_max_fee_20260301.txt

low

The document contains rate information for renal disease-related procedures with effective dates starting from 2006 and extending to 2299. No new or updated rates are evident.

Highlights

  • Rates for renal disease procedures listed.
  • Effective dates from 2006 to 2299.
  • No new rates or changes detected.

Reason

The document appears historical with no new rate changes or updates.

VISN_max_fee_20260301.txt

low

The document contains Medicaid rate entries for various vision-related services with effective dates from 2008 to 2299, indicating it is archival or future-oriented without immediate impact.

Highlights

  • Rates for vision services like 65205, 65210, 65220, 65222, 65430, 65435.
  • Effective dates range from 20080701 to 22991231.
  • Rates include 34.54, 47.59, 46.10, 47.18, 24.14, 59.10.
  • No new or immediate changes indicated.

Reason

The document appears archival with effective dates far in the past and future, suggesting no immediate changes.

WCDC_max_fee_20260301.txt

low

The document contains rate information for anesthesia and lab services related to adult cystic fibrosis, with effective dates ranging from 2006 to 2020. Rates are specified for various modifiers and codes, but no new effective dates are indicated.

Highlights

  • Rates for anesthesia services (e.g., CPT 00160, 00520) with modifiers qk, qx, qy, qz.
  • Rates for lab services (e.g., CPT 85049, 85610) with modifiers and maxfee details.
  • Effective dates range from 20061001 to 22991231.

Reason

The document appears to contain historical rate information without new or imminent changes.

DTCHD_max_fee_20260301.txt

low

The document introduces a new entry for 'day treatment-child' with code H2012, effective from January 1, 2022, to December 31, 2299, with a maximum fee of 39.04.

Highlights

  • New entry for 'day treatment-child' (H2012).
  • Effective date: January 1, 2022, to December 31, 2299.
  • Maximum fee set at 39.04.

Reason

The effective date is historical, starting in 2022, and does not indicate a new or urgent change.

Watch items

H2012202201012299123139.04

MHHC_max_fee_20260301.txt

low

The document includes Medicaid rate information for mental health services with specific CPT codes and fee schedules. Rates for codes 90785, 90791, 90847, and 90849 are detailed, with effective dates ranging from 2004 to 2299.

Highlights

  • CPT code 90785 has a max fee of 0.00.
  • CPT code 90791 has fees of 90.04 and 112.53 depending on modifiers.
  • CPT code 90847 has a fee of 90.04.
  • CPT code 90849 has fees of 90.04, 112.53, and 72.03 depending on modifiers.

Reason

The document appears to be archival with effective dates far in the past and future, indicating no immediate changes.

Watch items

CPT 90785CPT 90791CPT 90847CPT 90849

DENTL_max_fee_20260301.txt

low

The document contains dental Medicaid rate information with specific codes and maximum fees, effective from 2008 and 2022, extending to 2299.

Highlights

  • Dental code 10120 with max fee $46.45, effective 2008-2299.
  • Dental code d1516 with max fee $182.28, effective 2022-2299.
  • Dental code d1517 with max fee $472.28, effective 2022-2299.

Reason

The document appears to be archival with effective dates far in the past and extending far into the future, indicating no immediate changes.

MHADC_max_fee_20260301.txt

low

The document lacks any content or evidence to assess changes.

Highlights

  • No content available for review.
  • No effective dates or rate changes provided.

Reason

Insufficient evidence to determine any urgency or impact.

SMV_max_fee_20260301.txt

low

The document contains Medicaid rate information for transportation services with specific CPT codes and maximum fees listed. The effective dates for these rates are from January 1, 2022, to December 31, 2299.

Highlights

  • CPT code A0090: Max fee 24.05
  • CPT code A0120: Max fee 12.59
  • CPT code A0130: Max fee 12.59
  • CPT code S0209: Max fee 0.48
  • CPT code S0215: Max fee 1.32

Reason

The rates are effective from 2022 to 2299, indicating no immediate urgency for review.

Watch items

A0090A0120A0130S0209S0215

ANSTH_max_fee_20260301.txt

low

The document contains anesthesia-related Medicaid rate entries with codes 00100, 00928, and 00930, effective from 2008 to 2299. Rates and modifiers are specified, but no new effective dates are indicated.

Highlights

  • Anesthesia code 00100 with modifiers qk, qx, qy, qz.
  • Anesthesia code 00928 with modifiers qy, qz.
  • Anesthesia code 00930 with modifiers qk.

Reason

The document appears historical with effective dates starting in 2008 and no indication of recent changes.

HCCM_max_fee_20260301.txt

low

The document introduces new maximum fee rates for healthcare case management services with codes T1016 and T1017, effective from January 1, 2022, to December 31, 2299.

Highlights

  • New max fee for T1016: $4.78
  • New max fee for T1017: $7.83
  • Effective date: January 1, 2022
  • End date: December 31, 2299

Reason

The effective date is historical, starting in 2022, indicating archival relevance rather than immediate urgency.

Watch items

T1016T10172022010122991231

REHAB_max_fee_20260301.txt

low

The document provides updated Medicaid reimbursement rates for various therapy and rehab services, effective from January 1, 2022, to December 31, 2299. Rates for specific codes such as 29065, 29075, and 97140 are included.

Highlights

  • Rates effective from 20220101 to 22991231.
  • Includes codes: 29065, 29075, 29085, 29086, 29345, 29355, 97140.
  • Code 29065 has a max fee of 77.13.
  • Code 97140 has a max fee of 28.41.

Reason

The effective dates are far in the future, indicating no immediate urgency for review.

Watch items

2906529075290852908697140

CCO_max_fee_20260301.txt

low

The document provides rate information for the code G9002 under 'community care org' with different maximum fees for various patient types, effective from 2009 to 2299.

Highlights

  • Code: G9002
  • Max fee for pt1: $83.28
  • Max fee for pt2: $13.50
  • Max fee for pt3: $20.45
  • Effective date: 20090101 to 22991231

Reason

The effective date is historical, starting in 2009, and extends far into the future, indicating archival status.

Watch items

G90022009010122991231

MHCCS_max_fee_20260301.txt

low

The document contains Medicaid rate entries for mental health services with CPT codes 99199 and H2017, effective from 20140701 to 22991231. Rates vary based on modifiers such as hn, hq, u5, and others.

Highlights

  • CPT code 99199 with various modifiers has rates ranging from 3.49 to 40.00.
  • CPT code H2017 with modifiers hq, ua, ub, uc has rates from 3.49 to 13.39.
  • Effective date for all entries is 20140701 to 22991231.

Reason

The document appears historical with effective dates starting in 2014, suggesting archival status.

Watch items

CPT 99199CPT H2017Modifiers: hn, hq, u5, ua, ub, ucEffective date: 20140701 to 22991231

HCPCC_max_fee_20260301.txt

low

The document contains a Medicaid rate entry for code T1026 with a maximum fee of 39.23, effective from 20180901 to 22991231.

Highlights

  • Code: T1026
  • Maximum fee: 39.23
  • Effective date: 20180901
  • End date: 22991231

Reason

The effective date is historical, and there is no indication it supersedes current policy.

Watch items

T102639.232018090122991231

AMBSR_max_fee_20260301.txt

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The document lists Medicaid rates for various medical procedures at ambulatory surgical centers, with effective dates ranging from 2018 to 2299. Rates are specified for multiple procedure codes, but no new changes or updates are indicated.

Highlights

  • Rates for procedure codes 10005, 10007, 10009, 10011, 10021, 10030, 10035, 10036, 10040, 36825, 36830, 36831, 36832, 36833, 36835, 36860, 36861, 36901.
  • Effective dates from 20180701 to 22991231.
  • Rates include 106.18, 212.39, 318.57, and 1097.28.

Reason

The document appears archival with no new changes or updates indicated.