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Fee Schedules and Rates |
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Medicaid Fee Schedule (PDF) - (XLS) For most fee-for-service providers. The Medicaid Fee Schedule is Appendix DD of Ohio Administrative Code Rule 5101:3-1-60.
Ambulatory Surgical Centers - ASC Rates - ASCs are paid a facility fee for certain procedure codes. These codes are noted in the "Current ASC Group" column of the Medicaid Fee Schedule above.
Freestanding Birth Centers - These providers are reimbursed for specific procedure codes as detailed in the Appendix of Ohio Administrative Code Rule 5101:3-18-01.
Outpatient Hospital Services - The Outpatient Fee Schedules are several Appendices of Ohio Administrative Code Rule 5101:3-2-21. For outpatient hospital laboratory service provided prior to January 1, 2010, please refer to the Medicaid Fee Schedule above. |
Appendix A (PDF) - (XLS) Local Level Codes & Modifiers.
Appendix B (PDF) - (XLS) Revenue Center Codes Requiring CPT or HCPCS Coding.
Appendix C (PDF) - (XLS) Ambulatory Surgery Fee Schedule.
Appendix D (PDF) - (XLS) Clinic Facility Fee Schedule.
Appendix E (PDF) - (XLS) Emergency Room Fee Schedule.
Appendix F (PDF) - (XLS) Ancillary Fee Schedule.
Appendix G (PDF) - (XLS) Outpatient Hospital Radiology Fee Schedule
Appendix H (PDF) - (XLS) Outpatient Hospital Laboratory Fee Schedule (for services on or after Jan. 1, 2010) | |
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Inpatient Hospital Services - DRG Relative Weight Tables Hospital Base Rates
Hospice Rates
- Hospice Rates FFY 2012 - October 1, 2011 - September 30, 2012
- Hospice Rates FFY 2011 - October 1, 2010 - September 30, 2011
- Hospice Rates FFY 2010 - October 1, 2009 - September 30, 2010, Revised in accordance with CMS
revision of wage component subject to index for T2045 only
- Hospice Rates FFY 2010 - October 1, 2009 - September 30, 2010
- Hospice Rates FFY 2009 - October 1, 2008 - September 30, 2009, Originally Published September 2008
- Hospice Rates FFY 2009 - October 1, 2008 - September 30, 2009, Revised, September 2009, in accordance with the American Recovery and Reinvestment Act (ARRA) of 2009
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Private Duty Nursing Rates
Home Health Rates
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Medicaid Fee Schedule for Community Behavioral Health Providers:
Targeted Case Management (TCM): Rule: 5101:3-48-01 Appendix
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