Provider billing guides and fee schedules

Important! On January 1, 2017, the Health Care Authority (HCA) changed the process for managing Apple Health (Medicaid) benefits for clients with other primary health insurance. Learn about these changes.

Use this page to view or download provider billing guides, fee schedules, and additional billing materials. Stay up-to-date with rate, billing, and ProviderOne system changes. Sign up for Provider Alerts.

Note: Our state-funded Kidney Disease Program helps low-income, eligible clients with treatment costs for end-stage renal disease.

Use the following links to jump down the page: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Fee schedules

After December 31, 2016, please see Physician-Related/Professional Services.

Billing guides

Discontinued 4/1/2013. Refer to the current Physician-related/professional services for information regarding blood, blood products, and related services.

Fee schedules

Billing guides

Chemical Dependency (renamed as Substance Use Disorder)

Fee schedules

See Substance Use Disorder Program for dates of service on and after July 1, 2015

Fee schedules

For dates of service on and after July 1, 2016, please see Professional Administered Drugs fee schedule.

Billing instructions not available. Under contract.

Fee schedules

See Outpatient Rehabilitation Program for dates of service on and after April 1, 2011.

Fee schedules

See Outpatient Rehabilitation Program for dates of service on and after April 1, 2011.

Fee schedules

For dates of service before July 1, 2016, please see Injectable Drugs fee schedule.

Fee schedules

See Mental Health Services for dates of services on and after July 1, 2014.

Fee schedules

See Outpatient Rehabilitation Program for dates of service on and after April 1, 2011.
See Audiology Program for dates of service on and after April 1, 2011.

Billing guides

Fee schedules

Contact

For fee schedule and rate questions
 
For all other provider questions
Medical Assistance Customer Service Center (MACSC)
Online: Web form
Phone: 1-800-562-3022