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List of Medicaid Fee Schedules for Downloading

How to obtain and read fee schedules.

The list below contains the file name and description of each of the fee schedules available for downloading. To find out which fee schedule you need please call Provider Services at (800) 947-9627 or (608) 221-9883.

Please choose your provider type to view your fee schedule:

The file size is listed next to each item in parentheses. Please use the chart to the right as a guide to estimate the time it may take for a chapter to download. The download time is an estimate based on an average user downloading the product using a 56 K modem. Using a faster or slower modem decreases or increases download time.

File Size Download Time
1800 KB 4.5 minutes
1100 KB 2.6 minutes
600 KB 1.5 minute

You will need Acrobat Reader 3.01 or higher to view these PDF files.

Learn about PDF files.

Medicaid Fee Schedules in Text (TXT) and Portable Document File (PDF) format

Ambulance, 8/5/08

Text File

PDF

TXT (12 KB) PDF (22 KB)


Ambulatory Surgical Centers, 8/5/08

Text File

PDF

TXT (1417 KB)

PDF (413 KB)


Case Management Services, 2/1/08

HTML File

PDF

HTM

PDF (65 KB)


Child Care Coordination, 2/1/08

HTML File

PDF

HTM

PDF (69 KB)


Chiropractor, 8/5/08

Text File

PDF

TXT (14 KB)

PDF (22 KB)


Community Support Programs (CSP), 2/1/08

HTML File

PDF

HTM

PDF (87 KB)


Crisis Intervention, 2/1/08

HTML File

PDF

HTM

PDF (70 KB)


Dental — Benchmark, 4/25/08

HTML File

PDF

HTM

PDF (82 KB)


Dental — Standard, 8/5/08

Text File

PDF

TXT (208 KB)

PDF (82 KB)


Disposable Medical Supplies (DMS) Index, 7/1/08

HTML File

PDF

Interactive, searchable DMS index.

Key to reading the DMS Index

July 1, 2008
PDF (323 KB)

April 1, 2008
PDF (314 KB)

January 1, 2008
PDF (309 KB)


Durable Medical Equipment (DME) Index, 7/28/08

Searchable Durable Medical Equipment (DME) Index allows providers to search for Medicaid-covered equipment.

Text File

PDF

TXT (608 KB) Entire file.

or

Download files 1 and 2 for a complete set:

File 1: Key to reading the DME Index, Valid DME Procedure Codes With Modifiers, Home Health Equipment, Respiratory Equipment and Wheelchairs and Wheelchair Accessories — TXT (275 KB)

File 2: Orthotic devices and Orthopedic Shoes, Modifications, Transfers, and Prosthetic Procedures — TXT (333 KB)

PDF (448 KB)


Family Planning, 8/5/08

Text File

PDF

TXT* (139 KB)

PDF (57 KB)


HealthCheck, 8/5/08

Text File

PDF

TXT (22 KB)

PDF (25 KB)


Hearing Aid Supplies/Audiology, 8/5/08

Text File

PDF

TXT* (42 KB)

PDF (31 KB)


Home Health/Personal Care/Private Duty Nursing, 8/5/08

Text File

PDF

TXT* (9 KB)

PDF (65 KB)


Hospice, 2/1/08

Text File

PDF

HTM

PDF (69 KB)


Mental Health/Substance Abuse Outpatient Services in the Home or Community, 2/1/08

HTML File

PDF

HTM

PDF (22 KB)


Mental Health or Substance Abuse Outpatient Services, 2/1/08

HTML File

PDF

Procedure code conversion chart for outpatient mental health and substance abuse services 

Outpatient mental health and substance abuse services maximum allowable fees and copayment rates

Outpatient mental health and substance abuse service procedure codes

Mental Health and Substance Abuse Procedure Code Tables — PDF (98 KB)

Mental Health and Substance Abuse Fee Schedules and Copayment Rates— PDF (178 KB)

Outpatient mental health and substance abuse service procedure codes—PDF (182 KB)


Nurse Midwives, 8/5/08

Text File

PDF

TXT (52 KB) PDF (23 KB)


Occupational Therapy DME, 7/28/08

Text File

PDF

TXT (209 KB)

PDF (159 KB)


Physician/Independent Lab/X-Ray/Nurse Practitioners/Physician Assistant, 8/5/08

Text File

PDF

Download text files 1 to 8 for a complete set of the Physician Fee Schedule.

Please see below for people with higher modem speeds.

File 1 of 8 (Introduction, Tables [TOS, PAC, Modifiers], Fee Schedule Codes 00100 to 23184) — TXT* (603 KB)

File 2 of 8 (Codes 23190 to 29126) — TXT* (579 KB)

File 3 of 8 (Codes 29130 to 38221) — TXT* (619 KB)

File 4 of 8 (Codes 38230 to 54060) — TXT* (668 KB)

File 5 of 8 (Codes 54065 to 67331) — TXT* (601 KB)

File 6 of 8 (Codes 67332 to 78461) — TXT* (599 KB)

File 7 of 8 (Codes 78464 to 93542) — TXT* (582 KB)

File 8 of 8 (Codes 93543 to V2785) — TXT* (736 KB)

Please Note: For users who have a higher modem speed, you can download the following 4 files instead of the 8 above. 

File 1 of 4 (Introduction, Tables [TOS, PAC, Modifiers], Fee Schedule Codes 00100 to 29126) — TXT* (1181 KB)

File 2 of 4 (Codes 29130 to 54060) — TXT* (1287 KB)

File 3 of 4 (Codes 54065 to 78461) — TXT* (1199 KB)

File 4 of 4 (Codes 78464 to V2785) — TXT* (1317 KB)

PDF (1374 KB)


Physical Therapy DME, 7/28/08

Text File

PDF

TXT (238 KB)

PDF (180 KB)


Podiatry, 8/5/08

Text File

PDF

TXT (272 KB)

PDF (94 KB)


Prenatal Care Coordination (PNCC) Services, 2/1/08

HTML File

PDF

HTM

PDF (73 KB)


Rehab, MR & Nursing Home DME, 7/28/08

Text File

PDF

TXT (262 KB)

PDF (192 KB)


School-Based Services (SBS), 2/1/08

HTML File

PDF

HTM

PDF (40 KB)


Specialized Medical Vehicle (SMV), 8/5/08

Text File

PDF

TXT (6 KB) PDF (10 KB)


Speech Therapy DME, 7/28/08

Text File

PDF

TXT (47 KB)

PDF (51 KB)


State Purchase Eyeglass Contract (SPEC), 8/5/08

Text File

PDF

TXT (22 KB)

PDF (24 KB)


Physical Therapy, Occupational Therapy, and Speech and Language Pathology, 8/5/08

Text File

PDF

TXT* (32 KB)

PDF (29 KB)


Vision, 8/5/08

Text File

PDF

TXT* (87 KB)

PDF (45 KB)

*In order to view all codes, the Fee Schedule will need to be printed in landscape format.

How to obtain and read fee schedules.

   

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