Quarterly updates of the maximum allowable payment rates that apply to services directly billed to DMAP, in compliance with applicable law.
The Medical-Dental fee schedules are informational only. Files are usually posted by March 1, June 1, Sept 1 and Dec 1. They 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.
The Behavioral Health (Mental Health and Substance Use Disorder) fee schedules list the procedure codes and payment amounts effective for services provided on or after on and after the fee schedule date. Starting July 2014, mental health and substance use disorder codes are listed in a single Behavioral Health fee schedule file.
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