Wisconsin

high

Max Fee Download

SUCCESS

Run Date and Time

Jun 01, 2026

1m 18s

Run Metrics

New48
Changed0
Unchanged0
Checked48

Fee Schedule Impacts

High10
Medium19
Low19

Run summary

This run for Wisconsin ForwardHealth Max Fee / max-fee-download identified 0 changed documents and 48 newly discovered documents. 10 item(s) are high priority. 3 newly discovered item(s) appear current or upcoming.

High Impact (10)

HCRS_max_fee_20260601.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.
  • New rates effective January 1, 2026.
  • Modifier 'td' rate: $75.00.
  • Modifier 'te' rate: $61.05.

Reason

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

Watch items

995042026010175.0061.05

CHIRO_max_fee_20260601.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

  • New rates for chiropractic services effective 2024-01-01.
  • CPT codes 72040, 72050, 72052, 72070, 73070, 73080 updated.
  • Rates range from $22.49 to $61.56.
  • Effective period extends to 2299-12-31.

Reason

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

Watch items

720407205072052720707307073080

MHIHP_max_fee_20260601.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., 'hn' $15.01, 'ho' $22.51).
  • Applies to multiple service locations and codes.

Reason

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

Watch items

CPT 99199CPT H0004CPT H0022Effective date: 20240801Modifier rates

MHNTS_max_fee_20260601.txt

high

The document includes updates to Medicaid rates for mental health and narcotic treatment services, with specific CPT codes and effective dates provided. 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

LAB_max_fee_20260601.txt

high

The document includes updates to Medicaid reimbursement rates for medical laboratory services, with specific CPT codes and effective dates provided. Notably, a new rate for code 0464u is set to take effect on July 1, 2025.

Highlights

  • New rate for CPT code 0464u effective 2025-07-01.
  • CPT code 80047 has a rate of $11.51 effective since 2015.
  • CPT code 80048 has a rate of $8.46 effective since 2020.
  • CPT code 86255 has a new rate effective 2025-01-01.

Reason

The document includes new reimbursement rates with future effective dates, impacting billing and reimbursement.

Watch items

0464u effective 2025-07-0180047 rate $11.5180048 rate $8.4686255 effective 2025-01-01

behav_max_fee_20260601.txt

high

The document outlines updated Medicaid rates for various behavioral treatment codes, effective from February 1, 2023, to December 31, 2299. Rates for codes 97151 and 97152 are specified, with multiple fee structures based on different modifiers.

Highlights

  • Behavioral treatment code 97151 has a rate of $25.90.
  • Behavioral treatment code 97152 has a rate of $22.93.
  • Effective date for changes is February 1, 2023.
  • Multiple fee structures are based on different modifiers.

Reason

The document includes specific rate changes for behavioral treatment codes effective immediately, impacting reimbursement.

Watch items

9715197152Effective date: 20230201

PNCCC_max_fee_20260601.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

MHCI_max_fee_20260601.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 for mental health crisis intervention has multiple fee variations.
  • Effective dates for these rates are from 20220901 to 22991231.
  • CPT code H2011 also has specified rates effective from 20230101 to 22991231.
  • Rates vary based on modifiers such as 'hn', 'ho', 'hp', 'u7', and 'ua'.

Reason

The document contains specific rate changes and effective dates that are currently in effect, impacting reimbursement.

Watch items

CPT 99281CPT H2011Effective date 20220901Effective date 20230101Modifier 'ua'

MIDWF_max_fee_20260601.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 included.
  • Maximum fees specified for each code.
  • Rates valid until December 31, 2299.

Reason

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

Watch items

3641536416590255940099204

WWWP_max_fee_20260601.txt

high

The document outlines new Medicaid reimbursement rates for the Wisconsin Well Woman Program, effective from July 1, 2024, and January 1, 2025, with rates extending to December 31, 2299.

Highlights

  • New rates for codes 00400, 00940, 10004-10011, 87426, 87624-87626, 87635, 88141-88165.
  • Effective dates: July 1, 2024, and January 1, 2025.
  • Rates valid until December 31, 2299.

Reason

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

Watch items

0040000940100042024070120250101
Medium Impact (19)

WCDH_max_fee_20260601.txt

medium

The document outlines new maximum fee rates for various hemophilia-related HCPCS codes, effective from 2025 to 2026 and beyond.

Highlights

  • New rates for HCPCS codes J7187, J7188, J7190, J7193, J7194, J7195, J7197, J7198.
  • Effective dates range from 2025 to 2299.
  • Rates vary slightly over time, indicating future adjustments.

Reason

The changes are not immediate but involve future rate adjustments that may impact reimbursement.

Watch items

J7187J7188J7190J7193J7194J7195J7197J7198

HOSPC_max_fee_20260601.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. Rates for these codes have been specified with various max fees.

Highlights

  • New rates for hospice code G0155 effective 2025-10-01.
  • New rates for hospice code T2042 effective 2025-10-01.
  • Rates are valid until 2299-12-31.
  • Multiple max fee entries for each code.

Reason

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

Watch items

G0155T204220251001

AMBSR_max_fee_20260601.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, and 10040 effective from 2018.
  • New rates for codes 37254, 37255, 37256, 37257, 37258, and 37259 effective from 2026.
  • Rates range from $106.18 to $1097.28.
  • Document includes both historical and future rates.

Reason

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

Watch items

372543725537256372573725837259

CSMGT_max_fee_20260601.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 case management codes G9012, H0001, H0006, and T1017.
  • Effective dates range from 2022-01-01 to 2023-02-01.
  • Expiration dates extend to 2299-12-31.
  • Rates include $408.70 for H0001 and $11.98 for T1017.

Reason

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

Watch items

G9012H0001H0006T101720230201

MEDSV_max_fee_20260601.txt

medium

The document contains updated Medicaid rates for various medical services, with effective dates from 2019 to 2299. It includes specific rate changes for codes 10004, 10005, 10006, 57280, 57282, and 57283.

Highlights

  • Rate changes for codes 10004, 10005, 10006, 57280, 57282, 57283.
  • Effective dates range from 2019 to 2299.
  • Different max fee categories: c30 and pt1.

Reason

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

Watch items

100041000510006572805728257283

SBS_max_fee_20260601.txt

medium

The document outlines new Medicaid reimbursement rates for various school-based services, effective from August 11, 2025, to December 31, 2299. It includes specific CPT codes and maximum fees for services such as 90846, 90847, and 99202.

Highlights

  • New rates for school-based services effective August 11, 2025.
  • Includes CPT codes 90846, 90847, 99202, among others.
  • Maximum fees specified for each service.
  • Effective period extends to December 31, 2299.

Reason

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

Watch items

9084690847992022025081122991231

SPEC_max_fee_20260601.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 involve future rate updates.

Watch items

v2020v2100v229920250901maxfee

THERP_max_fee_20260601.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.
  • Different max fees for various settings (e.g., pt2, c49).

Reason

The document provides updated rates and effective dates, but changes are not imminent.

Watch items

2906529075971162022010122991231

MHCSP_max_fee_20260601.txt

medium

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 current and 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 provides current Medicaid rates but lacks an imminent change or new effective date.

Watch items

H0034H0039max fee 9.17max fee 3.75max fee 28.14

MHAOD_max_fee_20260601.txt

medium

The document includes Medicaid rate updates for mental health services, specifically for CPT codes 80305, 90785, and 90846, with effective dates ranging from 20220101 to 22991231. Rates are specified, such as $12.60 for code 80305 and $91.46 for code 90846 with modifier 'u6'.

Highlights

  • CPT code 80305: $12.60, effective 20230701
  • CPT code 90785: $12.43, effective 20220101
  • CPT code 90846: $91.46 with modifier 'u6', effective 20220101
  • CPT code 90846: $121.95 with modifier 'ua', effective 20220101

Reason

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

Watch items

8030590785908462023070120220101

DME_max_fee_20260601.txt

medium

The document includes updates to Medicaid rates for durable medical equipment, with specific changes effective in 2024 and 2026.

Highlights

  • CPT code 94762 has a max fee of $41.75, effective until 2299.
  • CPT code 94772 has a max fee of $126.57, effective until 2299.
  • CPT code A4210 has a max fee of $492.57, effective until 2299.
  • CPT code K0855 has a max fee of $10707.60, effective from 2024.
  • CPT code K0856 has a max fee of $6967.27, effective from 2026.

Reason

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

Watch items

9476294772A4210K0855K0856

ASTSG_max_fee_20260601.txt

medium

The document contains updated Medicaid rates for specific medical assistant services, with effective dates from 2022 to 2299. Rates for CPT codes 12018, 12047, 12057, 35276, and 35281 are specified, indicating changes in maximum fees.

Highlights

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

Reason

The document specifies rate changes but the effective dates are not imminent, reducing urgency.

Watch items

1201812047120573527635281

AUDHA_max_fee_20260601.txt

medium

The document outlines Medicaid rates for hearing services, including specific CPT codes and maximum fees effective from 2022 to 2299. Rates for services such as 69210, 92502, 92504, 92653, and v5014 are detailed.

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 provides current Medicaid rates but lacks imminent changes or new effective dates.

Watch items

69210925029250492653v5014

C4K_max_fee_20260601.txt

medium

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

Highlights

  • New entry for "care4kids" program.
  • Code: T1016 with max fee of 16.70.
  • Effective date range: 20220101 to 22991231.

Reason

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

Watch items

T101616.702022010122991231

MISC_max_fee_20260601.txt

medium

The document includes updates to Medicaid reimbursement rates for specific CPT codes, such as 0373T and 81415, with effective dates ranging from 2021 to 2299. These updates may impact billing and reimbursement processes.

Highlights

  • CPT code 0373T has a max fee update effective from 20210101 to 22991231.
  • CPT code 19300 has multiple entries with different max fees and effective dates starting from 20170701.
  • CPT code 81415 has a max fee of 3824.00 effective from 20200101 to 22991231.

Reason

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

Watch items

0373T1930081415

HHPC_max_fee_20260601.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 92507, 97139, 97799, 99509, 99600, s9123, s9124, t1001 listed.
  • Rates effective from 20220101 to 22991231.
  • Future rates for 99600, s9123, s9124 effective 20260101.
  • Different max fees based on service codes and regions.

Reason

The document includes future rate changes effective in 2026, but no immediate changes impacting current reimbursement.

Watch items

CPT 99600CPT s9123CPT s9124Effective date 20260101

AMBUL_max_fee_20260601.txt

medium

The document includes updates to ambulance transport rates with specific CPT codes and effective dates. Notably, new rates for codes 90480 and 90611 are set to take effect in 2025 and 2026, respectively.

Highlights

  • New rate for code 90480: $44.95 effective 2025-10-01
  • New rate for code 90611: $247.34 effective 2026-02-01
  • Code 90611 also has a rate of $0.00 with modifier 'sl' effective 2026-02-01
  • Rates for codes A0396, A0398, and A0420 effective 2023-02-01

Reason

The changes include future rate updates, but they are not immediately effective.

Watch items

9048090611A0396A0398A0420

DTAOD_max_fee_20260601.txt

medium

The document includes Medicaid rate information for day treatment services, with specific CPT/HCPCS codes and maximum fees listed. The effective dates range from 2008 to 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.
  • Modifier U6 for H2012 with max fee $35.60 effective from 2008-07-01.

Reason

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

Watch items

80305H2012U62023070120080701

HCMCR_max_fee_20260601.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
Low Impact (19)

CCO_max_fee_20260601.txt

low

The document introduces new entries for the code G9002 under 'community care org' with specified maximum fees and effective dates from 2009 to 2299.

Highlights

  • New entries for code G9002 under 'community care org'.
  • Maximum fees specified: $13.50, $83.28, $20.45.
  • Effective dates: 20090101 to 22991231.

Reason

The effective dates are far in the past and extend far into the future, indicating archival or non-urgent changes.

Watch items

G90022009010122991231

MHHC_max_fee_20260601.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 for different modifiers.
  • CPT code 90847 has a fee of 90.04.
  • CPT code 90849 has fees of 90.04, 112.53, and 72.03 for different modifiers.

Reason

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

HCPCC_max_fee_20260601.txt

low

The document includes 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, indicating archival information.

ANSTH_max_fee_20260601.txt

low

The document contains anesthesia-related Medicaid rate entries with specific CPT codes and modifiers, but all effective dates are historical, starting from 2008 and ending in 2299, suggesting no immediate changes.

Highlights

  • CPT code 00100 with modifiers qk, qx, qy, qz
  • CPT code 00928 with modifiers qy, qz
  • CPT code 00930 with modifiers qk
  • Effective dates range from 20080701 to 22991231

Reason

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

HCCM_max_fee_20260601.txt

low

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

Highlights

  • New maximum fee for T1016: $4.78
  • New maximum fee 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 a recent change.

Watch items

T1016T10172022010122991231

DENTL_max_fee_20260601.txt

low

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

Highlights

  • Dental service code 10120 with max fee $46.45, effective 2008-2299.
  • Dental service code D1351 with max fee $23.10, 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.

Watch items

10120D13512008070120220101

WCDC_max_fee_20260601.txt

low

The document contains rate information for anesthesia and lab services related to adult cystic fibrosis, with effective dates ranging from 2006 to 2029. No new or immediate changes are indicated.

Highlights

  • Rates for anesthesia services (CPT 00160, 00520) listed.
  • Rates for lab services (CPT 85049, 85610) included.
  • Effective dates range from 2006 to 2029.
  • No new effective dates or changes noted.

Reason

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

REHAB_max_fee_20260601.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 for therapy-rehabs codes 29065, 29075, 29085, 29086, 29345, and 29355 are listed.
  • Code 97140 has a rate of 28.41 with various modifiers.
  • Effective date for all listed rates is January 1, 2022, to December 31, 2299.

Reason

The document appears to be archival with effective dates far in the past, indicating no immediate urgency for review.

Watch items

29065290752908529086293452935597140

RDLGY_max_fee_20260601.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.

DMS_max_fee_20260601.txt

low

The document includes updates to Medicaid reimbursement rates for specific supply codes, with effective dates ranging from 2004 to 2019 and extending to 2299.

Highlights

  • CPT code A4206 has a max fee of 0.22.
  • CPT code A4207 has a max fee of 0.18.
  • CPT code A4208 has a max fee of 0.17.
  • CPT code A4481 has a max fee of 0.34.
  • CPT code A4483 has a max fee of 3.18.
  • CPT code A4550 has a max fee of 7.25.

Reason

The effective dates are historical, starting from 2004, and extend far into the future, indicating archival data.

Watch items

A4206A4207A4208A4481A4483A4550

OUTPA_max_fee_20260601.txt

low

The document provides updated Medicaid reimbursement rates for various outpatient hospital services, effective from January 1, 2020, to December 31, 2299. Rates for specific CPT codes are listed, but no new changes or effective dates are indicated beyond this range.

Highlights

  • Rates for outpatient hospital services are listed.
  • Effective dates range from January 1, 2020, to December 31, 2299.
  • No new changes or effective dates beyond this range are indicated.

Reason

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

bhic_max_fee_20260601.txt

low

The document lists Medicaid rates for specific codes with effective dates from 2014 to 2299, indicating long-term applicability.

Highlights

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

Reason

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

Watch items

H0038S0280S0281

DTCHD_max_fee_20260601.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

MHCCS_max_fee_20260601.txt

low

The document contains Medicaid rate information for mental health services, specifically for CPT codes 99199 and H2017, with various modifiers and maximum fees listed. The effective dates range from July 1, 2014, to December 31, 2299.

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.
  • Effective dates: July 1, 2014, to December 31, 2299.
  • Maximum fees vary by modifier.

Reason

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

VISN_max_fee_20260601.txt

low

The document contains Medicaid rate entries for various vision-related services with effective dates from 2008 to 2299, indicating these are not current changes but rather long-standing rates.

Highlights

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

Reason

The document appears to contain historical rate data with no immediate changes or updates.

SMV_max_fee_20260601.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

MHADC_max_fee_20260601.txt

low

The document lacks any content or evidence to assess changes.

Highlights

  • Document is empty with no content.
  • No rate or policy changes identified.

Reason

No evidence of changes or updates is present.

WCDK_max_fee_20260601.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 immediate changes.

Highlights

  • Rates for anesthesia services related to renal disease are listed.
  • Codes include 00532, 00840, 86920, 86921, 86922, 86927.
  • Effective dates are from 2006 to 2299.
  • Rates vary by modifier (e.g., qk, qx, qy, qz).

Reason

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

MHPW_max_fee_20260601.txt

low

The document includes Medicaid rate information for several codes, such as 98961, 98962, and H0002, 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.