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 Fee Schedules

Provider Information

Provider Fee Schedule

The links below provide information pertaining to some of the services covered by the Department of Human Services through Medicaid. The information includes provider procedure codes, definitions of those procedure codes services, and corresponding payment amounts, broken out by division or program.

The Department requires providers to bill claims using authorized modifier codes when applicable to the service provided. Click the link below to view the list of authorized modifier codes.

Document Name Latest Version Previous Version
Assistive Daily Living Services Waiver   excel        pdf   excel        pdf
Family Support 360 Waiver   excel        pdf   excel        pdf
CHOICES DD Waiver   excel        pdf   excel        pdf