Wisconsin
highMax Fee Download
Run Date and Time
Aug 01, 2026
1m 1s
Run Metrics
Fee Schedule Impacts
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. 4 newly discovered item(s) appear current or upcoming.
High Impact (12)
MHCI_max_fee_20260704.txt
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 with various modifiers and fees.
- •CPT code H2011 for mental health crisis intervention with specific fees and modifiers.
- •Effective dates range from 20220901 to 22991231.
Reason
The document includes specific rate changes and effective dates for Medicaid services that are currently in effect.
Watch items
MIDWF_max_fee_20260704.txt
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 contains new reimbursement rates effective soon, impacting billing and reimbursement.
Watch items
CHIRO_max_fee_20260704.txt
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 effective January 1, 2024.
- •CPT codes 72040, 72050, 72052, 72070, 73070, 73080 updated.
- •Rates range from $22.49 to $61.56.
- •Applies to chiropractic services.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
behav_max_fee_20260704.txt
The document outlines updated Medicaid rates for various behavioral treatment codes, effective from February 1, 2023, to December 31, 2299. Specific CPT codes such as 97151 and 97152 have defined maximum fees.
Highlights
- •CPT 97151: Max fee $25.90, effective 2023-02-01
- •CPT 97152: Max fee $22.93, effective 2023-02-01
- •CPT 97154: Multiple rates, effective 2022-12-01
Reason
The document includes specific rate changes for behavioral treatment codes effective now, impacting reimbursement.
Watch items
WWWP_max_fee_20260704.txt
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
HCRS_max_fee_20260704.txt
The document outlines Medicaid rate updates for home care-resp care services under code 99504, with new rates effective from January 1, 2026. Rates vary based on modifiers 'td' and 'te'.
Highlights
- •New rates for code 99504 effective January 1, 2026.
- •Modifier 'td' rate set at $75.00.
- •Modifier 'te' rate set at $61.05.
- •Current rates effective until December 31, 2025.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
PNCCC_max_fee_20260704.txt
The document introduces new Medicaid rates for child care coordination services with effective dates from February 1, 2023, to December 31, 2299. Specific CPT codes such as H1000, H1002, H1003, H1004, and T1016 are included with defined maximum fees.
Highlights
- •New rates for child care coordination services.
- •Effective from 2023-02-01 to 2299-12-31.
- •Includes CPT codes: H1000, H1002, H1003, H1004, T1016.
- •Specific fees: H1000 and H1002 at $90.80, H1003 at $57.00 and $16.50, H1004 at $52.79, T1016 at $11.98 and $11.35.
Reason
The document contains new reimbursement rates effective immediately, impacting billing and reimbursement.
Watch items
MHIHP_max_fee_20260704.txt
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
DTAOD_max_fee_20260704.txt
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 a max fee of $18.30 effective 2026-01-01.
- •Modifier 'hf;u6' for CPT code H2012 with a max fee of $35.60 effective 2026-01-01.
Reason
The document includes specific rate changes and effective dates impacting reimbursement.
Watch items
DME_max_fee_20260704.txt
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 DME codes 94762, 94772, A4210, K0854, and K0855 are included.
- •K0855 has a new rate effective January 1, 2024.
- •Rates for K0854 are effective from February 1, 2022.
- •Rates for 94762, 94772, and A4210 are historical, effective from July 1, 2008.
Reason
The document contains new rate information effective soon, impacting reimbursement.
Watch items
MHNTS_max_fee_20260704.txt
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
SBS_max_fee_20260704.txt
The document outlines new Medicaid reimbursement 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 CPT codes 90846, 90847, 92507, 92508, 92521, 92522, 99202, 99203, 99204, 99205, 99212, 99213.
- •Effective date: August 11, 2025.
- •Rates range from $9.37 to $163.57.
- •Applies to school-based services.
Reason
The document contains new reimbursement rates effective soon, impacting billing and reimbursement.
Watch items
Medium Impact (15)
AUDHA_max_fee_20260704.txt
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
HOSPC_max_fee_20260704.txt
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 fees listed for each code.
Reason
The changes are relevant but not urgent as they are effective in 2025.
Watch items
THERP_max_fee_20260704.txt
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. 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, and 97116.
- •Rates vary by code and setting.
Reason
The document provides updated rates but the effective dates are not imminent, reducing urgency.
Watch items
MEDSV_max_fee_20260704.txt
The document contains updated Medicaid rates for various medical services, effective from 20190101 to 22991231. It includes specific rate changes for codes 10004, 10005, 10006, 57311, 57320, and 57330.
Highlights
- •Rates for codes 10004, 10005, 10006 updated.
- •Rates for codes 57311, 57320, 57330 updated.
- •Effective date range: 20190101 to 22991231.
Reason
The document shows rate updates but the effective date is not imminent, reducing urgency.
Watch items
C4K_max_fee_20260704.txt
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 lacks immediate effective date urgency.
Watch items
WCDH_max_fee_20260704.txt
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).
Reason
The changes are relevant but not immediately effective, with future effective dates starting in 2025.
Watch items
SPEC_max_fee_20260704.txt
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 have specified rates.
- •Maximum fee for v2299 is 105.00.
- •Maximum fee for v2100 and v2101 is 10.49.
- •Maximum fee for v2020 is 7.35.
Reason
The changes are not effective immediately but are relevant for future planning.
Watch items
MHAOD_max_fee_20260704.txt
The document includes Medicaid rate information for mental health services, with specific CPT codes and maximum fees listed. Effective dates range from 20220101 to 22991231, indicating long-term applicability.
Highlights
- •CPT code 80305 with max fee $12.60 effective 20230701.
- •CPT code 90785 with max fee $12.43 effective 20220101.
- •CPT code 90846 with max fee $121.95 effective 20220101.
Reason
The document contains rate information with effective dates, but changes are not imminent.
Watch items
LAB_max_fee_20260704.txt
The document contains updates to Medicaid reimbursement rates for medical laboratory services, including specific CPT codes and effective dates.
Highlights
- •CPT code 0464u with a max fee of $473.54 effective from 2025-07-01.
- •CPT code 80047 with a max fee of $11.51 effective from 2015-01-01.
- •CPT code 80048 with a max fee of $8.46 effective from 2020-01-01.
- •CPT code 86235 with a max fee of $17.93 effective from 2020-01-01.
- •CPT code 86255 with a max fee of $12.05 effective from 2020-01-01.
Reason
The document includes future rate changes effective in 2025, but most rates are already effective, indicating limited immediate impact.
Watch items
HHPC_max_fee_20260704.txt
The document outlines Medicaid rate updates for home care services, including specific CPT codes and their associated fees. Some rates are effective from 2026, indicating future changes.
Highlights
- •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.
- •Current rates for various codes are effective until 2299.
Reason
The document includes future rate changes effective in 2026, which are not immediately urgent but relevant for future planning.
Watch items
HCMCR_max_fee_20260704.txt
The document introduces new entries for high-cost medical complexity codes G0506 and T2023 with specified maximum fees.
Highlights
- •New entries for codes G0506 and T2023.
- •Maximum fees set at 1201.41 and 434.24 respectively.
- •Effective date range: 20220101 to 22991231.
Reason
The document includes new rate entries but the effective date is not imminent.
Watch items
AMBUL_max_fee_20260704.txt
The document includes updates to ambulance transport rates with specific CPT codes and effective dates, some extending into the future.
Highlights
- •New rate for code 90480: $44.95, effective 2025-10-01.
- •New rate for code 90611: $247.34, effective 2026-02-01.
- •Rate for code A0396: $41.07, effective 2023-02-01.
- •Rate for code A0398: $23.96, effective 2023-02-01.
Reason
The document contains future rate changes, but they are not imminent, requiring moderate urgency for review.
Watch items
MISC_max_fee_20260704.txt
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 current rate updates but lacks imminent changes or new effective dates.
Watch items
CSMGT_max_fee_20260704.txt
The document outlines updated Medicaid case management rates for various codes, including G9012, H0001, and T1017, with effective dates ranging from 2022 to 2023.
Highlights
- •New rates for G9012, H0001, and H0006 codes.
- •Effective dates from 20220101 to 22991231.
- •Rates for H0006 range from $161.33 to $1385.36.
- •T1017 rate set at $11.98 effective from 20230201.
Reason
The document contains updated rates and effective dates, but they are not imminently urgent.
Watch items
AMBSR_max_fee_20260704.txt
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
Low Impact (21)
SMV_max_fee_20260704.txt
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
MHADC_max_fee_20260704.txt
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 evidence to assess urgency or impact.
ASTSG_max_fee_20260704.txt
The document contains Medicaid rate information for various medical assistant services, with specific CPT codes and maximum fees listed. The effective dates for these rates range from 2008 to 2299, indicating they are not newly updated.
Highlights
- •CPT codes include 12018, 12047, 12057, 35276, and 35281.
- •Rates are specified with maximum fees, e.g., $57.90 for code 12018.
- •Effective dates range from 2008 to 2299, suggesting archival data.
- •No new or imminent changes are indicated.
Reason
The document appears to contain historical rate data with no new or urgent changes.
DENTL_max_fee_20260704.txt
The document includes dental service codes 10120 and d1351 with specified maximum fees and effective dates. The rates for these codes are $46.45 and $23.10, respectively, with effective dates starting from 20080701 and 20220101, extending to 22991231.
Highlights
- •Dental code 10120: max fee $46.45, effective 20080701 to 22991231.
- •Dental code d1351: max fee $23.10, effective 20220101 to 22991231.
Reason
The document appears to be archival with effective dates far in the past, indicating no immediate urgency for review.
Watch items
VISN_max_fee_20260704.txt
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.
- •Effective dates range from 20080701 to 22991231.
- •Rates include 34.54, 47.59, 46.10, 47.18, 24.14, 59.10.
- •Additional codes like 92342, 92352 with rates 30.00, 21.63, 16.01.
Reason
The effective dates are far in the future, indicating archival or placeholder data.
DTCHD_max_fee_20260704.txt
The document introduces a new entry for 'day treatment-child' with code H2012, effective from January 1, 2022, to December 31, 2299. The maximum fee is set at 39.04.
Highlights
- •New entry for 'day treatment-child' with code H2012.
- •Effective date: January 1, 2022, to December 31, 2299.
- •Maximum fee: 39.04.
Reason
The effective date is historical, starting in 2022, and does not indicate a recent change.
Watch items
DMS_max_fee_20260704.txt
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: max fee $0.22, effective 2004-01-01 to 2299-12-31.
- •CPT code A4207: max fee $0.18, effective 2004-01-01 to 2299-12-31.
- •CPT code A4208: max fee $0.17, effective 2004-01-01 to 2299-12-31.
- •CPT code A4481: max fee $0.34, effective 2019-12-01 to 2299-12-31.
- •CPT code A4483: max fee $3.18, effective 2012-03-01 to 2299-12-31.
- •CPT code A4550: max fee $7.25, effective 2008-07-01 to 2299-12-31.
Reason
The effective dates are far in the past, indicating archival status.
Watch items
bhic_max_fee_20260704.txt
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
MHCSP_max_fee_20260704.txt
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 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 recent changes impacting reimbursement.
Watch items
RDLGY_max_fee_20260704.txt
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.
OUTPA_max_fee_20260704.txt
The document lists outpatient hospital service codes with associated maximum fees and effective dates, ranging from 2008 to 2020, with an end date of 2299. No immediate changes or new effective dates are indicated.
Highlights
- •Outpatient hospital codes listed with fees.
- •Effective dates range from 2008 to 2020.
- •End date for all entries is 2299.
- •No new or upcoming changes noted.
Reason
The document appears archival with no new or imminent changes affecting reimbursement.
MHPW_max_fee_20260704.txt
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.
WCDK_max_fee_20260704.txt
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, 86930, and 86931.
- •Effective dates are from 2006 to 2299, suggesting archival data.
Reason
The document appears to contain historical rate data with no immediate changes or updates.
HCCM_max_fee_20260704.txt
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 as $4.78 and $7.83, respectively.
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
HCPCC_max_fee_20260704.txt
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, and the end date is far in the future, indicating archival status.
Watch items
MHHC_max_fee_20260704.txt
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.
Watch items
REHAB_max_fee_20260704.txt
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
ANSTH_max_fee_20260704.txt
The document contains anesthesia-related Medicaid rate entries with specific CPT codes and modifiers, but the effective dates are historical, ranging from 2008 to 2299.
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 from 20080701 to 22991231.
Reason
The effective dates are historical and extend far into the future, indicating archival data.
Watch items
WCDC_max_fee_20260704.txt
The document provides rate information for anesthesia and lab services related to adult cystic fibrosis, with effective dates ranging from 2006 to 2029. No new effective dates or changes are indicated.
Highlights
- •Rates for anesthesia services (CPT 00160, 00520) provided.
- •Rates for lab services (CPT 85049, 85610) provided.
- •Effective dates range from 20061001 to 22991231.
Reason
The document appears to be archival with no new effective dates or changes indicated.
CCO_max_fee_20260704.txt
The document outlines Medicaid rates for the code G9002 under 'community care org' with specific maximum fees for different patient types, effective from January 1, 2009, to December 31, 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.
MHCCS_max_fee_20260704.txt
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.
- •Rates range from 3.49 to 40.00.
Reason
The document appears historical with effective dates starting in 2014 and extending to 2299, indicating no immediate changes.