Forms & publications

Notice: If you are looking for Apple Health (Medicaid) client forms and publications, please visit our Free or low-cost forms library.

Ambulance-ITA-Transportation-20190701.xls

Use this for Ambulance ITA effective 07/01/19

Fee schedule

Ambulance-ITA-Transportation-20200415.xls

Ambulance rate sheet effective 02-29-2020

Fee schedule

Ambulance-ITA-Transportation-20200417.xls

Ambulance rate sheet

Fee schedule

Ambulatory Surgery Centers Billing Guide (2016-10-01)

Provider billing guide

Ambulatory Surgery Centers Billing Guide (2017-01-01)

Provider billing guide

Ambulatory Surgery Centers Billing Guide (2017-07-01)

Provider billing guide

Ambulatory Surgery Centers Billing Guide (2017-10-01)

Provider billing guide

Ambulatory Surgery Centers Billing Guide (2018-01-01)

Provider billing guide

Ambulatory Surgery Centers Billing Guide (2018-04-01)

Provider billing guide

Ambulatory Surgery Centers Billing Guide (2019-01-01)

Provider billing guide

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