Prioritized list, fees, rates and costs

Prioritized List

The Prioritized List of Health Services indicates which services DMAP will cover. See General Rules and OHP Rules for more information.

• Current Prioritized List
• Pending changes to the Prioritized List
• Recent changes to the Prioritized List
• Excluded and below-the-line diagnosis list 

Fee-for-services payment information

Provider's fee schedule for fee-for-service clients

• OHP Fee Schedule: Main fee schedule for fee-for-service clients.
• A separate fee schedule is also available for EPIV services.
• FAQs regarding pharmacy pricing and reimbursement and the Plan Drug List
• Hospital rates

Managed care rates and costs

• Capitation rates and per capita cost reports
• Hospital rates