How do providers identify the correct payer? Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. 0000016734 00000 n If so, the primary care doctor will arrange it. Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. MetLife Preferred Dentist Program (PDP) Benefits 2022 general dentist or specialist who meets MetLifes strict credentialing WebCritical access information for providers MHCP Fee Schedule (MHCP Fee Schedule (dental codes begin on page 55 of the PDF) Fraud, Waste, and Abuse: Combating Medicare Parts C and D Fraud, Waste and Abuse Training Web Based Training Course 2022 Fraud, Waste and Abuse Attestation Fraud, Waste and Abuse Training Log Additional Resources Applicable FARS/DFARS apply. Aetna Inc. and itsaffiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. 0000017206 00000 n Verify the spelling of the street name or city. You can also view and share your digital ID card from the Aetna Health app. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. The $150 co-payment is for a plain metal crown. endstream endobj 4805 0 obj <>stream January 1, 2023 to present Dental program fee schedule (updated January 26, 2023) %%EOF WebDental insurance helps you plan for the costs of dental care. Discontinued 3/31/2013. 2023 MetLife Services and Solutions, LLC 0000050787 00000 n While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. City of Virginia Beach and Virginia Beach City Public Schools Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. ;^{s4)|I6gPvJ=x Some services have this type of restriction. Log in to your member website first to get personalized results. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Visit the secure website, available through www.aetna.com, for more information. 0000001499 00000 n WebNot all employer groups associated with these Payors will utilize the Connection Dental Network. The following monthly costs are effective 1/1/2022 12/31/2022 MetLife Dental ?LkG1/p#- -vBw|4W:AB Q=,AfU3mknmwQn%z7 MetLife Preferred Dentist Program (PDP) Overview Commonly Illinois DMO is not an HMO. Therefore, it is crucial to verify benefits and eligibility with the Payor. If you had coverage under a previous insurance carrier, youll have coverage for certain services by that plan even after your Aetna coverage begins. Do you need a PA form? In Illinois, DMO plans provide limited out-of-network benefits. 825 0 obj <>stream BG[uA;{JFj_.zjqu)Q 4+t?1zxn nmZn5&xUAX5N(;a,r}=YUUA?z r[ $ &,MJtN-F;+U_t+|\b2*M-r!N66;ZWFl\4)*8jw#W`hps>O"9nblas %$puu$|0,}kd4$p$ap,KU{. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. For questions about rates or fee schedules, email ProfessionalRates@hca.wa.gov. endstream endobj 4795 0 obj <>stream Fee Schedule This means if you have two plans that cover two cleanings per year, you dont have four cleanings per year. For previous versions, email us applehealthpharmacypolicy@hca.wa.gov. These services include: We may not cover services youve received without coverage. See Physician-related/professional services.). w)A7ilBnx_^bu>3E;LU,Nhs%v1&OvC:-R/mTpm:3]q%ih*N 0000044035 00000 n Enter the street name or intersection instead of address numbers (24th and Broadway instead of 2432 Broadway). RNa: Dental insurance Members should discuss any matters related to their coverage or condition with their treating provider. For general Apple Health and behavioral health guidance, visit our Information about novel coronavirus (COVID-19) webpage. 20% PPO and out-of-state; 30% non-PPO. 0 [Company Name] Plan Benefits WebCleaning for adults is covered every three months. You can also contact Member Services to determine if they are eligible under your DMO plan. All services deemed "never effective" are excluded from coverage. Before you provide certain services, you will need to submit authorization request forms. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. MetLife Dental Comparison Chart and Section 504 of the Rehabilitation Act of 1973. Compare dental plans | Washington State Health Care Authority In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. cy Yes. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 0000039476 00000 n 4812 0 obj <>/Filter/FlateDecode/ID[]/Index[4792 37]/Info 4791 0 R/Length 101/Prev 537656/Root 4793 0 R/Size 4829/Type/XRef/W[1 3 1]>>stream Have your dentist send a pretreatment estimate (predetermination) to us. Fee Schedules Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Hn0R`~(dQQl\0H5oKtFA?v>4.zL >.K;J+p0eLK!YWU-`}\~nxqC79*G: >$LAFMEECJ.&rwBx77C(gOI CHAwl"4Q !b p^y2gp#M Virginia members: In Virginia, DMO is called DNO (Dental Network Only). endstream endobj 4802 0 obj <>stream Dental This SCHEDULE OF BENEFITS lists the Covered Services available to You and Your Dependents under Your dental plan, as well as Your and Your Dependents costs for each Covered Service. !f"UF =,T).ts DNO (Dental Network Only) in Virginia is not an HMO. $10 to $50 to extract a tooth. Florida Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). The AMA is a third party beneficiary to this Agreement. Please see your plan documents. To find out additional fee information on common procedures in your area, the process is simple Reprinted with permission. Dental n[F$6_KZi4k The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. Your and Your In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. They arent a PCD. WebWe would like to show you a description here but the site wont allow us. Most PCDs treat children and can refer members to a pediatric dentist, if necessary. Every enrolled family member may select their own primary care dentist. All Rights Reserved. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Benefits provided by SafeGuard Health Plans, Inc., a MetLife company. You may not have coverage to replace teeth that were lost or extracted before your coverage began. endstream endobj 4803 0 obj <>stream You are now being directed to the CVS Health site. 0000043626 00000 n Spell out street names and abbreviations (State Highway 249 instead of SH 249). Employees can choose between an extensive network of dentists and oral care specialists so they find a provider best suited for their needs. As the leading provider of dental benefits and largest commercial carrier, MetLife is committed to helping your employees maximize their benefits. I want information specifically for Dental Insurance Plans: Healthy Smiles Ahead | MetLife Treating providers are solely responsible for medical advice and treatment of members. Just go to the Apple App Store or Google Play Store. Dental 0000072473 00000 n Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. %PDF-1.4 % This page contains billing guides, fee schedules, and additional billing materials to help you submit: Coronavirus (COVID-19) information. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). 'u s1 ^ WebCoordination of benefits provisions in dental benefits plans are a set of rules that are followed when a patient is covered by more than one dental benefits plan. However, in order to receive maximum benefits, members must select and have care coordinated by a participating primary care dentist. The secondary plan acts like a supplement to the primary plan. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. It is only a partial, general description of plan or program benefits and does not constitute a contract. WebDenteMax is one of the largest leasable dental PPO networks in the United States. For questions about billing guides, contact Medical Assistance Customer Service Center (MACSC) online or at 1-800-562-3022. WebMetLife's Preferred Dentist Program allows you to select from a network of dentists who have agreed to charge discounted fees. "lkBJbQkQ~A~>VKmdCD"*>YF.%Vv]-w0 HtTYo@~0IOHC How do I notify SEBB that my loved one has passed away? endstream endobj 4806 0 obj <>stream Unlisted, unspecified and nonspecific codes should be avoided. If not, we will pay as the secondary payor. Members cant choose a pediatric dentist as their PCD. My Dental PPO - MetLife startxref While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Jump to the first list item for each letter: 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. Dental metlife dental claim form NCFlex MetLife Triple Options Booklet and FAQs NCFlex MetLife Dental International Travel Assist Flyer MetLife Dental Low Option Certificate 01 01 20 MetLife Dental Low Option Certificate UNC Chapel Hill 01 01 20 MetLife Dental Classic Option Certificate 01 01 20 b-4) \0)0=6AywC(>rdN61a0X5AxwYdF70Lgc;e9f ``x@ W6 This search will use the five-tier subtype. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. WebLike most group benefits programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, waiting periods, reductions of benefits, limitations HTn0?N$vt.taQ"]QI~}kGvc:PXJ ,DDIuEE}%uDp'QMXzm:h?cZH;%*E[*& For language services, please call the number on your member ID card and request an operator. To change your PCD, log in to your member website. Please see your plan documents. Provider Quick Reference Guide 0000142900 00000 n Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). 779 0 obj <> endobj 0000035971 00000 n Direct Referral Dental 0 Some problems may need more than one service to fix. I was billed more than the standard $150 co-payment for a crown. Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. WebJust select a participating dentist at enrollmentthen refer to your Schedule of Benefits to see what's covered and your costs. Contact Us. Depending on your plan, you may pay for dental care in one of two ways: There are no deductibles or annual dollar maximums. Each covered family member can select their own. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Ooops!!! - MetLife %PDF-1.7 % You can reach them at the number on your ID card. 0000037929 00000 n 0000104077 00000 n Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, Community behavioral support (CBHS) services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Home health care services: electronic visit verification, Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19), Information about novel coronavirus (COVID-19) webpage, Medical Assistance Customer Service Center (MACSC) online, April 1, 2023 to present ABCD billing guide, October 1, 2022 to March 31, 2023 ABCD billing guide, July 1, 2022 to September 30, 2022 ABCD billing guide, July 1, 2022 to present Acute physical medicine and rehabilitation billing guide, October 1, 2020 to June 30, 2022 Acute physical medicine and rehabilitation billing guide, January 1, 2020 to September 30, 2020 Acute physical medicine and rehabilitation billing guide, View all acute physical medicine and rehabilitation billing guides, July 1, 2022 to present Alien Medical Program billing guide, January 1, 2022 to June 30, 2022 Alien Medical Program billing guide, April 1, 2021 to December 31, 2021 Alien Medical Program billing guide, View all Alien Medical Program emergency assistance billing guides, January 1, 2021 to present Ambulance transportation billing guide, July 1, 2020 to December 31, 2020 Ambulance transportation billing guide, April 1, 2020 to June 30, 2020 Ambulance transportation billing guide, View all Ambulance transportation billing guides, July 1, 2022 to present Ground Emergency Medical Transportation (GEMT) billing guide, October 1, 2020 to June 30, 2022 Ground Emergency Medical Transportation (GEMT) billing guide, January 1, 2020 to September 30, 2020 Ground Emergency Medical Transportation (GEMT) billing guide, July 1, 2021 to present Ambulance transportation, February 29, 2020 to June 30, 2021 Ambulance transportation, July 1, 2019 to February 28, 2020 Ambulance transportation, December 1, 2016 to June 30, 2019 Ambulance transportation, January 1, 2006 to November 30, 2016 Ambulance transportation, July 1, 2022 to present ACS billing guide, July 1, 2021 to June 30, 2022 ASC billing guide, October 1, 2020 to June 30, 2021 ASC billing guide, April 1, 2023 to present -- ASC fee schedule, October 1, 2022 to present March 31, 2023 -- ASC fee schedule, April 1, 2022 to September 30, 2022 ASC fee schedule, October 1, 2021 to March 31, 2022 ASC fee schedule, March 1, 2021 to September 30, 2021 ASC fee schedule, April 24, 2023 to present - ABA billing guide, April 1, 2023 to April 23, 2023 ABA billing guide, January 1, 2023 to March 31, 2023 ABA billing guide, July 1, 2022 to present ABA fee schedule, July 1, 2021 to June 30, 2022 ABA fee schedule, July 1, 2020 to June 30, 2021 ABA fee schedule, ABA COE fee-for-service provider directory, July 1, 2022 to present Blood bank fee schedule, July 1, 2021 to June 30, 2022 Blood bank fee schedule, July 1, 2020 to June 30, 2021 Blood bank fee schedule, View all Blood Bank services fee schedules, Substance-Using Pregnant People (SUPP) program billing guide, January 1, 2022 to December 31, 2022 CUP program billing guide, October 1, 2020 to December 31, 2021 CUP women program billing guide, July 1, 2019 to September 30, 2020 CUP women program billing guide, Inpatient Prospective Payment System (IPPS), October 1, 2020 to present Childbirth education billing guide, April 1, 2019 to September 30, 2020 Childbirth education billing guide, October 1, 2017 to March 31, 2019 Childbirth education billing guide, View all childbirth education billing guides, January 1, 2007 to present Childbirth education, July 1, 2022 to present Chiropractic services billing guide, October 1, 2020 to June 30, 2022 Chiropractic services billing guide, January 1, 2020 to September 30, 2020 Chiropractic services billing guide, View all chiropractic services for children billing guides, July 1, 2022 to present Chiropractic services for children fee schedule, July 1, 2021 to June 30, 2022 Chiropractic services for children fee schedule, July 1, 2020 to June 30, 2021 Chiropractic services for children fee schedule, View all chiropractic services for children fee schedules, April 1, 2023 to present CRT products and services billing guide, July 1, 2022 to March 31, 2023 CRT products and services billing guide, January 1, 2022 to June 30, 2022 CRT products and services billing guide, July 1, 2022 to present CRT fee schedule, April 1, 2022 to June 30, 2022 CRT fee schedule, July 1, 2021 to March 31, 22 CRT fee schedule, October 1, 2022 to present Social services blanket code crosswalk, September 1, 2021 to September 30, 2022 Social services blanket codes, November 17, 2020 to August 31, 2021 Social services blanket codes, July 1, 2022 to present COVID-19 fee schedule, January 1, 2022 to June 30, 2022 COVID-19 fee schedule, July 1, 2021 to December 31, 2021 COVID-19 fee schedule, April 12, 2023 to present - Apple Health COVID-19 vaccine policy, December9, 2022to April 11, 2023 Apple Health COVID-19 vaccine policy, November 21, 2022 to December 8, 2022- Apple Health COVID - 19 vaccine policy, April 24, 2023 to present Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, December 16, 2022 to April 23, 2023 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, September 14, 2022 to December 15, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, August 19, 2022 to September 13, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, May 10, 2022 to August 18, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, April 12, 2022 to May 9, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, March 23, 2022 to April 11, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, View all Monoclonal Antibody Treatment COVID-19 clinical policies, May 12, 2023 to present - Apple Health COVID-19 testing clinical policy, November 21, 2022 to May 11, 2023 Apple Health COVID-19 testing clinical policy, March 4, 2022 to November 20, 2022 Apple Health COVID-19 testing clinical policy, View all COVID-19 testing clinical policies, Access to Baby and Child Dentistry (ABCD), April 1, 2023 to present Dental-related services program billing guide, January 1, 2023 to March 31, 2023 Dental-related services program billing guide, October 1, 2022 to December 31, 2022 Dental-related services program billing guide, July 1, 2022 to present Oral Health Connections pilot project billing guide, January 1, 2022 to June 30, 2022 Oral Health Connections pilot project billing guide, October 1, 2020 to December 31, 2021 Oral Health Connections pilot project billing guide, View all OHC pilot project billing guides, July 1, 2022 to present Mobile anesthesia for dental services billing guide, January 1, 2023 to present Dental program fee schedule, October 1, 2022 to December 31, 2022 Dental program fee schedule, July 1, 2022 to September 30, 2022 Dental program fee schedule, July 1, 2022 to present Diabetes education program billing guide, July 1, 2021 to June 30, 2022 Diabetes education program billing guide, April 1, 2021 to June 30, 2021 Diabetes education program billing guide, View all Diabetes Education Program billing guides, July 1, 2022 to present Diabetes education, July 1, 2021 to June 30, 2022 Diabetes education, July 1, 2020 to June 30, 2021 Diabetes education, View all diabetes education fee schedules, Medical Equipment and Supplies billing guide, January 1, 2019 to March 31, 2019 DME and non-CRT wheelchairs billing guide, October 1, 2018 to December 31, 2018 DME and non-CRT wheelchairs billing guide, July 1, 2018 to September 30, 2018 DME and non-CRT wheelchairs billing guide, Medical Equipment and Supplies fee schedules, January 1, 2019 to March 31, 2019 Other DME fee schedule, January 1, 2019 to March 31, 2019 Wheelchairs and accessories fee schedule, View all DME social services blanket codes, April 1, 2023 to present ESPDT Well-child program billing guide, January 1, 2023 to March 31, 2023 ESPDT program billing guide, July 1, 2022 to December 31, 2022 EPSDT program billing guide, July 1, 2022 to present EPSDT fee schedule, July 1, 2021 to June 30, 2022 EPSDT fee schedule, July 1, 2020 to June 30, 2021 EPSDT fee schedule, March 1, 2023 to present Enteral nutrition billing guide, September 1, 2022 to February 28, 2023 Enteral nutrition billing guide, July 1, 2022 to August 31, 2022 Enteral nutrition billing guide, View all enteral nutrition billing guides, March 1, 2023 to present Enteral nutrition fee schedule, July 1, 2022 to February 28, 2023 Enteral nutrition fee schedule, July 1, 2021 to June 30, 2022 Enteral nutrition fee schedule, January 1, 2023 to present Family planning billing guide, July 1, 2022 to December 31, 2022 Family planning billing guide, February 1, 2022 to June 30, 2022 Family planning billing guide, January 1, 2023 to present Family planning fee schedule, October 1, 2022 to December 31, 2022 Family planning fee schedule, July 1, 2022 to September 30, 2022 Family planning fee schedule, July 1, 2022 to present SRHP fee schedule, October 1, 2021 to June 30, 2022 SRHP fee schedule, Physician-Related Services/Health Care Professional Services Billing Guide, Physician administered drugs fee schedule, Family planning only program telemedicine services offered during the COVID-19 outbreak, Family planning client application (form 13-781), April 1, 2023 to present FQHC billing guide, January 1, 2023 to March 31, 2023 FQHC billing guide, October 1, 2022 to December 31, 2022 FQHC billing guide, April 1, 2023 to present FQHC encounter rates, January 1, 2023to March 31, 2023 FQHC encounter rates, October 1, 2022 to December 31, 2022 FQHC encounter rates, April 1, 2023 to present FQHC enhancement rates, January 1, 2023 to March 31, 2023 FQHC enhancement rates, October 1, 2022 to December 31, 2022 FQHC enhancement rates, August 1, 2022 to present Habilitative services program billing guide, July 1, 2022 to July 31, 2022 Habilitative services program billing guide, January 1, 2022 to June 30, 2022 Habilitative services program billing guide, View all habilitative services billing guides, July 1, 2022 to present Habilitative services, July 1, 2021 to June 30, 2022 Habilitative services, January 1, 2021 to June 30, 2021 Habilitative services, View all habilitative services fee schedules, April 1, 2022 to present Hearing hardware billing guide, November 1, 2020 to March 31, 2022 Hearing hardware billing guide, October 1, 2020 to October 31, 2020 Hearing hardware billing guide, July 1, 2022 to present Hearing hardware fee schedule, April 1, 2022 to June 30, 2022 Hearing hardware fee schedule, July 1, 2021 to March 30, 2022 Hearing hardware fee schedule, April 1, 2022 to present HIV/AIDS case management billing guide, April 1, 2021 to March 31, 2022 HIV/AIDS case management billing guide, October 1, 2020 to March 31, 2021 HIV/AIDS case management billing guide, July 1, 2018 to present HIV/AIDS case management, January 1, 2023 to present Home health (acute care services) billing guide, July 1, 2022 to December 31, 2022 Home health (acute care services) billing guide, April 1, 2022 to June 30, 2022 Home health (acute care services) billing guide, View all home health services billing guides, January 1, 2023 to present Home health fee schedule, July 1, 2022 to December 31, 2022 Home health fee schedule, January 1, 2022 to June 30, 2022 Home health fee schedule, View all home health services fee schedules, January 1, 2023 to present Home Infusion therapy billing guide, November 16, 2022 to December 31, 2022 Home Infusion therapy billing guide, October 1, 2021 to November 15, 2022 Home Infusion therapy billing guide, View all home infusion therapy and nutrition billing guides, January 1, 2023 to present Home infusion therapy/parenteral nutrition fee schedule, October 1, 2022 to December 31, 2022 Home infusion therapy/parenteral nutrition fee schedule, July 1, 2022 to September 30, 2022 Home infusion therapy/parenteral nutrition fee schedule, View all home infusion therapy/parenteral nutrition fee schedules, July 1, 2022 to present Hospice services billing guide, October 1, 2020 to June 30, 2022 Hospice services billing guide, January 1, 2020 to September 30, 2020 Hospice services billing guide, October 1, 2021 to September 30, 2022 Hospice fee schedule, October 1, 2020 to September 30, 2021 Hospice fee schedule, January 1, 2020 to July 1, 2020 Hospital-based inpatient detoxification billing guide, July 1, 2019 to December 31, 2019 Hospital-based inpatient detoxification billing guide, January 1, 2019 to June 30, 2019 Hospital-based inpatient detoxification billing guide, View all hospital-based inpatient detoxification billing guides, January 1, 2023 to present Inpatient hospital services billing guide, October 1, 2022 to December 31, 2022 Inpatient hospital services billing guide, July 1, 2022 to September 30, 2022 Inpatient hospital services billing guide, View all inpatient hospital billing guides, Guidance for billing MCOs for services provided to newborns, RAC Eligibility Codes for Healthy Options Blind/Disabled (HOBD) Clients, November 1, 2022 to present Interpreter services billing guide, April 1, 2022 to October 31, 2022 Interpreter services billing guide, October 1, 2021 to March 31, 2022 Interpreter services billing guide, July 1, 2022 to present Kidney center services billing guide, January 1, 2022 to June 30, 2022 Kidney center services billing guide, January 1, 2021 to December 31, 2021 Kidney center services billing guide, View all kidney center services billing guides, April 1, 2023 to present Kidney centers fee schedule, January 1, 2023 to March 31, 2023 Kidney centers fee schedule, October 1, 2022 to December 31, 2022 Kidney centers fee schedule, View all kidney center services fee schedules, July 1, 2022 to present Long-term care program billing guide, October 1, 2020 to June 30, 2022 Long-term care program billing guide, January 1, 2020 to September 30, 2020 Long-term care program billing guide, View all long-term acute care billing guides, August 1, 2022 to present MSS/ICM billing guide, July 1, 2022 to July 31, 2022 MSS/ICM billing guide, January 1, 2021 to June 30, 2022 MSS/ICM billing guide, July 1, 2020 to present MSS/ICM fee schedule, January 1, 2020 to June 30, 2020 MSS/ICM fee schedule, October 1, 2015 to December 31, 2019 MSS/ICM fee schedule, March 24, 2023 to present Medical Equipment and Supplies Billing Guide, October 21, 2022 to March 23, 2023 Medical Equipment and Supplies Billing Guide, October 1, 2022 to October 20, 2022 Medical Equipment and Supplies Billing Guide, View all Medical equipment and supplies billing guides, April 1, 2023 to present Medical Equipment and Supplies fee schedule, October 1, 2022 to March 31, 2023 Medical Equipment and Supplies fee schedule, July 1, 2022 to September 30, 2022 Medical Equipment and Supplies fee schedule, View all medical equipment and supplies fee schedules, April 1, 2023 to present Medical nutrition therapy billing guide, February 17, 2023 to March 31, 2023 Medical nutrition therapy billing guide, August 1, 2022 to February 16, 2023 Medical nutrition therapy billing guide, View all medical nutrition therapy billing guides, July 1, 2022 to present Medical nutrition therapy fee schedule, July 1, 2021 to June 30, 2022 Medical nutrition therapy fee schedule, July 1, 2020 to June 30, 2021 Medical nutrition therapy fee schedule, View all medical nutrition therapy fee schedules, April 1, 2023 to present - Mental health services billing guide, January 1, 2023 to March 31, 2023 Mental health services billing guide, October 1, 2022 to December 31, 2022 Mental health services billing guide, View all mental health services billing guides, April 1, 2023 to present Mental health and psychology services fee schedule, January 1, 2023 to March 31, 2023 Mental health and psychology services fee schedule, July 1, 2022 to December 31, 2022 Mental health and psychology services fee schedule, View all mental health services fee schedules, January 1, 2023 to present Specialized mental health fee schedule, July 1, 2022 to December 31, 2022 Specialized mental health fee schedule, January 1, 2022 to June 30, 2022 Specialized mental health fee schedule, View all specialized mental health services fee schedules.
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