Job & Family Services - Ohio Health Plans
Ohio Health Plans

Fee Schedules and Rates

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.

Outpatient Hospital Services - The Outpatient Fee Schedules are several Appendices of Ohio Administrative Code Rule 5101:3-2-21. For outpatient hospital laboratory fees, 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
DRG Relative Weight Tables - For Inpatient Hospital Services.

Hospice Rates

 

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