Wisconsin

high

Max Fee Download

SUCCESS

Run Date and Time

Sep 15, 2026

49s

Run Metrics

New48
Changed0
Unchanged0
Checked48

Fee Schedule Impacts

High12
Medium16
Low20

Run summary

This run for Wisconsin ForwardHealth Max Fee / max-fee-download identified 0 changed documents and 48 newly discovered documents. 12 item(s) are high priority. 1 newly discovered item(s) appear current or upcoming.

High Impact (12)

behav_max_fee_20260905.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

MHNTS_max_fee_20260905.txt

high

The document outlines Medicaid rate updates for mental health and narcotic treatment services, including specific CPT codes and their associated fees. Notably, a new rate for code 81025 is effective from January 1, 2024.

Highlights

  • •New rate for code 81025 effective 2024-01-01.
  • •Rates for codes 86580, 99001, and H0020 are listed.
  • •Multiple modifiers and fee structures are detailed.
  • •Effective dates range from 2008 to 2026.

Reason

The document includes a new rate effective soon, impacting reimbursement.

Watch items

810258658099001H002020240101

HCRS_max_fee_20260905.txt

high

The document outlines Medicaid rate updates for home care-respiratory care services, specifically for CPT code 99504. New rates are set to take effect on January 1, 2026, with different maximum fees based on modifiers.

Highlights

  • •CPT code 99504 for home care-respiratory care is updated.
  • •New rates effective from January 1, 2026.
  • •Modifier 'td' rate is $75.00, 'te' rate is $61.05.
  • •Current rates remain until December 31, 2025.

Reason

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

Watch items

CPT 99504Effective date 20260101Modifier 'td' rate $75.00Modifier 'te' rate $61.05

CHIRO_max_fee_20260905.txt

high

The document outlines new Medicaid reimbursement rates for chiropractic services, effective January 1, 2024, with specific CPT codes and maximum fees listed.

Highlights

  • •New rates for chiropractic services effective January 1, 2024.
  • •CPT codes include 72040, 72050, 72052, 72070, 73070, 73080.
  • •Rates range from $22.49 to $61.56.
  • •Effective dates for some codes extend to December 31, 2299.

Reason

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

Watch items

7204072050720527307020240101

AMBUL_max_fee_20260905.txt

high

The document outlines new Medicaid rates for ambulance transport services, with specific CPT codes and effective dates ranging from 2023 to 2026.

Highlights

  • •New rate for CPT 90480: $44.95, effective 2025-10-01.
  • •New rate for CPT 90611: $247.34, effective 2026-02-01.
  • •Updated rate for CPT 90611: $260.13, effective 2026-08-01.
  • •Rates for CPT codes A0396, A0398, and A0420 effective from 2023-02-01.

Reason

The document includes specific rate changes and effective dates impacting reimbursement.

Watch items

CPT 90480CPT 90611CPT A0396CPT A0398CPT A0420

PNCCC_max_fee_20260905.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 CPT codes and maximum fees for services such as H1000, H1002, H1003, H1004, and T1016.

Highlights

  • •New rates for child care coordination services.
  • •Effective date: February 1, 2023.
  • •CPT codes: H1000, H1002, H1003, H1004, T1016.
  • •Maximum fees specified for each service.

Reason

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

Watch items

H1000H1002H1003H1004T1016

WWWP_max_fee_20260905.txt

high

The document outlines new and updated reimbursement rates for the Wisconsin Well Woman Program, effective from 2024 and 2025, with some rates extending to 2299.

Highlights

  • •New rates for CPT codes 00400, 00940, 10004, 10005, 10006, 10007 effective 2024-2025.
  • •Rates for CPT codes 77067, 81025, 81515, 87426, 87624, 87625, 87626, 87635, 88141 updated.
  • •Effective dates range from 2024 to 2025, with some extending to 2299.
  • •Specific rate changes include increases for codes 10004, 10005, 10006, 10007.

Reason

The document includes specific rate changes and effective dates starting in 2024, impacting reimbursement.

Watch items

0040010004202407012025070177067

DME_max_fee_20260905.txt

high

The document includes updates to Medicaid rates for durable medical equipment, with specific rates and effective dates provided for several items, including codes 94762, 94772, A4210, K0854, and K0855. Notably, new rates for K0855 are effective from January 1, 2024.

Highlights

  • •Rates for codes 94762, 94772, A4210 effective until 22991231.
  • •New rate for K0855 effective from 20240101.
  • •Code K0854 has rates effective from 20220201.
  • •Rates are specified as maxfee with different conditions (e.g., c11, rtl, rr).

Reason

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

Watch items

K0855 effective 20240101K0854 effective 202202019476294772A4210

MHCI_max_fee_20260905.txt

high

The document outlines Medicaid rate updates for mental health crisis intervention services, including specific CPT codes and maximum fees effective from 2022 and 2023.

Highlights

  • •CPT code 99281 with various modifiers has rates ranging from $47.42 to $148.16.
  • •CPT code H2011 has a rate of $13.97 with modifier U8 and $37.04 with modifier UA.
  • •Effective dates for these rates are from 20220901 to 22991231 and 20230101 to 22991231.

Reason

The document contains specific rate changes and effective dates for Medicaid services that are currently or soon to be in effect.

Watch items

99281H20112022090120230101

MHIHP_max_fee_20260905.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 (CPT 99199, H0004, H0022).
  • •Effective date: August 1, 2024.
  • •Rates vary by service modifier (e.g., 'hm', 'hn', 'ho', 'ua', 'ub').
  • •Maximum fees range from $10.92 to $56.77.

Reason

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

Watch items

CPT 99199CPT H0004CPT H0022Effective date: 20240801Modifiers: hm, hn, ho, ua, ub

SBS_max_fee_20260905.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 and maximum fees for various services.

Highlights

  • •New rates for school-based services effective August 11, 2025.
  • •Includes CPT codes 90846, 90847, 92507, 92508, 92521, 92522, 99202, 99203, 99204, 99205, 99212, 99213.
  • •Maximum fees range from $9.37 to $163.57.
  • •Effective date: August 11, 2025, to December 31, 2299.

Reason

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

Watch items

9084690847925079920220250811

MIDWF_max_fee_20260905.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 and geographic modifiers.

Highlights

  • •New rates for licensed midwives effective 2024.
  • •CPT codes 36415, 36416, 59025, 59400, and 99204 included.
  • •Maximum fees specified for each code.
  • •Geographic modifiers such as 'hpsa150' and 'tj15374' applied.

Reason

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

Watch items

3641536416590255940099204
Medium Impact (16)

C4K_max_fee_20260905.txt

medium

The document introduces a new entry for the 'care4kids' program with a specific code and fee details.

Highlights

  • •New entry: care4kids program
  • •Code: t1016
  • •Max fee: 16.70
  • •Effective date: 20220101
  • •End date: 22991231

Reason

The document includes a new entry with specific fee details, but the effective date is not imminent.

Watch items

t1016202201012299123116.70

AMBSR_max_fee_20260905.txt

medium

The document contains Medicaid rate updates for ambulatory surgical centers, with effective dates ranging from 2018 to 2026. Notably, new rates for codes 37254, 37255, 37256, 37257, 37258, and 37259 are set to become effective in 2026.

Highlights

  • •Rates for codes 10005, 10007, 10009, 10011, 10021, 10030, 10035, 10036, 10040 effective from 2018.
  • •New rates for codes 37254, 37255, 37256, 37257, 37258, 37259 effective from 2026.
  • •Rates range from $106.18 to $1097.28.
  • •Document includes max fee details for each code.

Reason

The document includes future rate changes effective in 2026, which are not urgent but relevant for future planning.

Watch items

372543725537256372573725837259

MEDSV_max_fee_20260905.txt

medium

The document contains Medicaid rate updates for various medical services, with specific maximum fees listed for codes 10004, 10005, 10006, 57531, 57540, 57545, and 57550. The effective date for these rates is from January 1, 2019, to December 31, 2299.

Highlights

  • •Rates for codes 10004, 10005, 10006, 57531, 57540, 57545, 57550 updated.
  • •Effective date: January 1, 2019, to December 31, 2299.
  • •Maximum fees specified for each code.

Reason

The document provides specific rate updates, but the effective date is not imminent.

Watch items

10004100051000657531575405754557550

THERP_max_fee_20260905.txt

medium

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

Highlights

  • •Updated rates for therapy services (OT/PT/Speech).
  • •Effective dates: January 1, 2022, to December 31, 2299.
  • •Rates for codes 29065, 29075, and 97116 included.

Reason

The document provides updated rates but the effective dates are not imminent, reducing urgency.

Watch items

2906529075971162022010122991231

LAB_max_fee_20260905.txt

medium

The document contains updates to Medicaid reimbursement rates for various medical laboratory services, including specific CPT codes and maximum fees. Notably, a new rate for code 0464u is effective from July 1, 2025.

Highlights

  • •New rate for CPT code 0464u: $473.54, effective 2025-07-01
  • •CPT code 80047: $11.51, effective since 2015-01-01
  • •CPT code 80048: $8.46, effective since 2020-01-01
  • •CPT code 86231: $12.05, effective since 2022-01-01

Reason

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

Watch items

0464u800478004886231

SPEC_max_fee_20260905.txt

medium

The document outlines new maximum fee rates for state-purchased eyeglasses, effective from September 1, 2025, to December 31, 2299. Several specific codes, such as v2020, v2100, and v2299, have updated rates.

Highlights

  • •New rates effective from 2025-09-01 to 2299-12-31.
  • •Codes v2020, v2100, v2101, v2102, v2219, v2220, v2221, v2299, v2300, v2301 are included.
  • •Maximum fees range from $4.20 to $105.00.

Reason

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

Watch items

v2020v2100v229920250901maxfee

MISC_max_fee_20260905.txt

medium

The document includes updates to Medicaid reimbursement rates for specific CPT codes, with effective dates ranging from 2017 to 2023. Notable codes include 0373T, 19300, 81415, and 81416, with specified maximum fees and applicable date ranges.

Highlights

  • •CPT code 0373T has a max fee of 18.34, effective 20210101 to 22991231.
  • •CPT code 19300 has multiple entries with fees 389.42 and 350.48, effective 20170701 to 22991231.
  • •CPT code 81415 has a max fee of 3824.00, effective 20200101 to 22991231.
  • •CPT code 81416 is mentioned but lacks complete details.

Reason

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

Watch items

0373T193008141581416

AUDHA_max_fee_20260905.txt

medium

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

Highlights

  • •CPT 69210: Max fee $35.35
  • •CPT 92502: Max fee $122.22
  • •CPT 92504: Max fee $24.10
  • •CPT 92653: Max fee $66.21
  • •CPT V5014: Max fee $154.11

Reason

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

Watch items

69210925029250492653V5014

DTAOD_max_fee_20260905.txt

medium

The document outlines Medicaid rate updates for day treatment services, including specific CPT codes and fee changes effective from 2023 and 2026.

Highlights

  • •CPT code 80305 with a max fee of 12.60 effective 2023-07-01.
  • •CPT code H2012 with modifiers and fees effective 2026-01-01.
  • •Multiple effective dates ranging from 2008 to 2026.

Reason

The document includes future rate changes but lacks immediate impact.

Watch items

80305H20122023070120260101

CSMGT_max_fee_20260905.txt

medium

The document outlines new Medicaid case management rates for various codes, effective from 2022 and 2023, with expiration dates set in 2299. Rates for codes such as H0006 and T1017 are specified, indicating changes in reimbursement amounts.

Highlights

  • •New rates for case management codes H0006 and T1017.
  • •Effective dates range from 2022 to 2023, expiring in 2299.
  • •Specific rates include $161.33 to $1385.36 for H0006.
  • •Rate for T1017 is $11.98.
  • •Multiple modifiers and regions are listed.

Reason

The document specifies new rates and effective dates, but they are not imminent, reducing urgency.

Watch items

H0006T10172022050120230201

MHAOD_max_fee_20260905.txt

medium

The document includes updates to Medicaid rates for mental health services, specifically for CPT codes 80305 and 90846, with effective dates ranging from 2022 to 2023.

Highlights

  • •CPT code 80305 has a max fee of $12.60 effective from 2023-07-01.
  • •CPT code 90846 has a max fee of $91.46 and $121.95 with different modifiers, effective from 2022-01-01.

Reason

The document contains rate updates for specific CPT codes, but the effective dates are not imminent.

Watch items

80305908462023070120220101

HCMCR_max_fee_20260905.txt

medium

The document introduces new Medicaid rates for high-cost medical complexity services, with specific codes and maximum fees listed.

Highlights

  • •New rates for 'high cost med complx' services.
  • •Codes G0506 and T2023 are included.
  • •Maximum fees are $1201.41 and $434.24 respectively.
  • •Effective from 20220101 to 22991231.

Reason

The document provides specific rate changes but the effective date is not imminent.

Watch items

G0506T20231201.41434.2420220101

DMS_max_fee_20260905.txt

medium

The document includes updates to Medicaid rates for specific supply codes, with effective dates ranging from 2004 to 2024.

Highlights

  • •Rate for code A4206 set at $0.22, effective 2004-01-01.
  • •Rate for code A4207 set at $0.18, effective 2004-01-01.
  • •Rate for code A4208 set at $0.17, effective 2004-01-01.
  • •Rate for code A4544 set at $5.07, effective 2024-10-01.
  • •Rate for code A4550 set at $7.25, effective 2008-07-01.

Reason

The document includes future rate changes effective in 2024, but most rates are historical.

Watch items

A4206A4207A4208A4544A4550

HOSPC_max_fee_20260905.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 $192.39.
  • •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

HHPC_max_fee_20260905.txt

medium

The document outlines Medicaid rate updates for home care services, including specific CPT codes and maximum fees, with effective dates ranging from 2022 to 2026.

Highlights

  • •CPT code 92507 has a max fee of $98.19 and $90.96, effective 2022.
  • •CPT code 97139 has a max fee of $95.11 and $88.11, effective 2022.
  • •CPT code 99600 has a future rate of $117.86, effective 2026.
  • •CPT code s9123 has a future rate of $67.55, effective 2026.
  • •CPT code s9124 has a future rate of $55.00, effective 2026.

Reason

The document includes future rate changes effective in 2026, which are not immediately urgent but relevant for future planning.

Watch items

CPT 99600 effective 2026CPT s9123 effective 2026CPT s9124 effective 2026

WCDH_max_fee_20260905.txt

medium

The document outlines new maximum fee rates for various hemophilia-related HCPCS codes, effective from 2025 to 2299. Notable changes include rate adjustments for codes J7187, J7188, J7190, J7193, J7194, J7195, and J7197, with specific effective dates provided.

Highlights

  • •New rates for HCPCS codes J7187, J7188, J7190, J7193, J7194, J7195, J7197.
  • •Effective dates range from 2025 to 2299.
  • •Rate changes include J7187 at $1.49 (2025-2026) and $1.54 (2026-2299).
  • •J7188 set at $3.24 from 2026 onwards.
  • •J7190 rates are $1.25 (2026-2299) and $1.39 (2026-2026).

Reason

The document contains future rate changes but they are not immediately effective.

Watch items

J7187J7188J7190J7193J7194
Low Impact (20)

VISN_max_fee_20260905.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.

Highlights

  • •Rates for vision services like 65205, 65210, 65220, 65222, 65430, 65435, 92342, and 92352 are listed.
  • •Effective dates range from 20080701 to 22991231.
  • •Rates include values such as 34.54, 47.59, 46.10, 47.18, 24.14, 59.10, 30.00, and 21.63.
  • •The document appears to cover multiple regions.

Reason

The effective dates are far in the future, indicating archival or non-immediate relevance.

DENTL_max_fee_20260905.txt

low

The document contains Medicaid dental rate information with specific codes and maximum fees, but the effective dates are historical, ranging from 2008 to 2022.

Highlights

  • •Dental code 10120 with max fee $46.45, effective 2008-2022.
  • •Dental code d1351 with max fee $23.10, effective 2022-2022.

Reason

The effective dates are historical, indicating archival information rather than current changes.

MHCCS_max_fee_20260905.txt

low

The document contains Medicaid rate information for mental health services with specific CPT codes and modifiers, effective from 2014 to 2299. Rates for CPT code 99199 and H2017 are detailed with various modifiers.

Highlights

  • •CPT code 99199 with modifiers hn;hq, hn;u5, ho;hq, ho;u5, hp;hq, hp;u5.
  • •CPT code H2017 with modifiers hq;u9, hq;ua, hq;ub, hq;uc.
  • •Rates effective from 20140701 to 22991231.
  • •Modifiers impact maximum fee calculations.

Reason

The document appears historical with effective dates starting in 2014 and extending far into the future, suggesting no immediate changes.

MHCSP_max_fee_20260905.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 new but ongoing.

Highlights

  • •CPT code H0034 with a max fee of 9.17.
  • •CPT code H0039 with various modifiers and fees ranging from 3.75 to 28.14.
  • •Effective date range from 20040101 to 22991231.

Reason

The document appears to be archival with no immediate changes impacting reimbursement.

Watch items

H0034H00392004010122991231

OUTPA_max_fee_20260905.txt

low

The document lists outpatient hospital service codes with associated maximum fees and effective dates, ranging from 2008 to 2023.

Highlights

  • •Outpatient hospital codes include 78267, 78268, 80047, 80048, 80051, 80053, 80055, 80061, 84450, 84460, 84466, 84478, 84479, 84480, 84481.
  • •Maximum fees are specified for each code, e.g., 78267 has a fee of 9.88.
  • •Effective dates for these codes range from 2008 to 2023.
  • •The document appears to be current with no immediate changes indicated.

Reason

The document appears archival with effective dates starting from 2008, and no new changes are indicated.

SMV_max_fee_20260905.txt

low

The document outlines Medicaid transport service rates with effective dates from 2022 to 2299, including specific codes and maximum fees.

Highlights

  • •CPT code A0090 with max fee 24.05
  • •CPT code A0120 with max fee 12.59
  • •CPT code A0130 with max fee 12.59
  • •CPT code S0209 with max fee 0.48
  • •CPT code S0215 with max fee 1.32

Reason

The rates are effective from 2022 to 2299, indicating no immediate changes requiring urgent review.

Watch items

A0090A0120A0130S0209S0215

HCPCC_max_fee_20260905.txt

low

The document includes a Medicaid rate entry for code T1026 with a maximum fee of 39.23, effective from 2018 to 2299.

Highlights

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

Reason

The effective date is historical, and the end date is far in the future, indicating archival status.

Watch items

T1026

MHPW_max_fee_20260905.txt

low

The document provides 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: c, b, hf, he

Reason

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

bhic_max_fee_20260905.txt

low

The document lists Medicaid rates for specific codes with effective dates from 2014 to 2299, indicating long-term applicability. Rates for codes H0038, S0280, and S0281 are specified.

Highlights

  • •Code H0038: $5.75
  • •Code S0280: $473.64
  • •Code S0281: $13.14
  • •Effective dates: 20140401 to 22991231

Reason

The effective dates are historical and extend far into the future, suggesting no immediate urgency.

Watch items

H0038S0280S0281

HCCM_max_fee_20260905.txt

low

The document introduces new Medicaid rates for health check case management services, specifically for codes T1016 and T1017, effective from January 1, 2022, to December 31, 2299.

Highlights

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

Reason

The effective date is historical, starting in 2022, and does not indicate immediate changes.

Watch items

T1016T10172022010122991231

MHADC_max_fee_20260905.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

The document contains no information to assess urgency or impact.

WCDC_max_fee_20260905.txt

low

The document contains Medicaid rate information for adult cystic fibrosis, including anesthesia and max fee rates for specific codes. The effective dates range from 2006 to 2029, indicating historical data.

Highlights

  • •Rates for anesthesia services (e.g., CPT 00160, 00520)
  • •Max fee rates for lab tests (e.g., CPT 85049, 85610)
  • •Effective dates from 20061001 to 22991231

Reason

The document appears to contain historical rate data with effective dates starting in 2006, suggesting archival information.

WCDK_max_fee_20260905.txt

low

The document contains rate information for anesthesia services related to renal disease, with specific codes and rates listed. The effective dates range from 2006 to 2299, indicating these are not new changes.

Highlights

  • •Rates for anesthesia services related to renal disease are listed.
  • •Codes include 00532, 00840, 86920, 86921, 86922, 86927.
  • •Rates are effective from 20061001 to 22991231.
  • •Modifiers such as qk, qx, qy, qz are included.

Reason

The document appears to be archival with effective dates starting in 2006, indicating no immediate changes.

MHHC_max_fee_20260905.txt

low

The document includes Medicaid rate information for mental health services with CPT codes 90785, 90791, 90847, and 90849. Rates are specified with different modifiers and effective dates extending far into the future.

Highlights

  • •CPT 90785: Rate details included.
  • •CPT 90791: Rates with modifiers 'ho' and 'hp'.
  • •CPT 90847: Rate with modifier 'ub'.
  • •CPT 90849: Rates with modifiers 'ho', 'hp', and 'u6'.

Reason

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

DTCHD_max_fee_20260905.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' with code 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

CCO_max_fee_20260905.txt

low

The document outlines Medicaid rates for the code G9002 under 'community care org' with specific maximum fees for different patient types, effective from 2009 to 2299.

Highlights

  • •Code: G9002
  • •Patient Type 2 Max Fee: $13.50
  • •Patient Type 1 Max Fee: $83.28
  • •Patient Type 3 Max Fee: $20.45
  • •Effective Date: 20090101 to 22991231

Reason

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

ASTSG_max_fee_20260905.txt

low

The document contains Medicaid rate information for various medical assistant services, with effective dates from 2022 to 2299. Rates for CPT codes 12018, 12047, 12057, 35276, and 35281 are specified, but no immediate changes are indicated.

Highlights

  • •Rates for CPT codes 12018, 12047, 12057, 35276, and 35281 are listed.
  • •Effective dates range from 2022 to 2299.
  • •No new changes or updates are evident in the excerpts.

Reason

The document appears to be archival with no immediate changes or updates indicated.

ANSTH_max_fee_20260905.txt

low

The document contains anesthesia-related Medicaid rate entries with specific codes and modifiers, but all effective dates are historical, starting from 2008 and ending in 2299.

Highlights

  • •Anesthesia codes 00100, 00928, and 00930 are listed.
  • •Modifiers include qk, qx, qy, and qz.
  • •Rates are specified for each code and modifier combination.
  • •Effective dates range from 20080701 to 22991231.

Reason

The effective dates are historical and extend far into the future, indicating no immediate changes.

REHAB_max_fee_20260905.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 document appears to be archival with effective dates far in the future, indicating no immediate urgency.

Watch items

29065290752908529086293452935597140

RDLGY_max_fee_20260905.txt

low

The document contains Medicaid rate information for medical radiology services, including CPT codes 70010, 76776, and 76800, with specified maximum fees and modifiers. The effective dates range from 2008 to 2299, indicating these are not immediate changes.

Highlights

  • •CPT code 70010 with various modifiers and fees.
  • •CPT code 76776 with fees effective from 2008.
  • •CPT code 76800 with fees effective from 2008.

Reason

The document appears to be archival with effective dates far in the past, not indicating urgent changes.