OHP fee schedule for fee-for-service providers
Quarterly updates of the maximum allowable payment rates that apply to services directly billed to DMAP, in compliance with applicable law.
Fee schedule (for general information only - last updated March 2013)
The fee schedules reflect information available in the month posted, and do not reflect fees for all programs. Rates may change without notice. Only codes with rate changes in the month posted will show a new effective date.
NOTE: New federal primary care rates are not included in the March 2013 fee schedule. They will be included in the April/May 2013 fee schedule, after federal CMS approval is received.
To learn more about the fee schedule format, read our file specifications. Also learn about DMAP's maximum allowable rates for the main types of services listed in the fee schedule.
- For rates and covered procedures for chemical dependency and mental health services, go to AMH Tools for Providers.
- For reimbursement rates for services to OHP health plan members, contact the OHP health plan.
- For questions about the rates listed on the fee schedule, contact DMAP Provider Services.