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Fee and Rate Schedules

Most fee and rate schedules are provided in PDF format. You must have Adobe Acrobat or a similar PDF reader installed to view these documents. Download the free Adobe Reader.

What's New

Dec. 24, 2014 - Providers may begin billing for the new services listed below on Jan. 1, 2015.

Medicaid Wellness Enhanced Fee Schedule: PDF

Fee Schedules

Audiology Fee Schedule as of December 2013: PDF

Chiropractor Fee Schedule as of July 2005: PDF

Clinical Laboratory Fee Schedule as of January 2015:PDF - Excel
Note: To view a previous fee schedule, visit the Independent Laboratory Services page under Covered Services and go to the Archive section

Durable Medical Equipment (DME) Fee Schedule as of Jan. 1, 2014: PDF - Excel
Note: To view a previous fee schedule or updates, visit the DME page under Covered Services and go to the Archive section.

Hospital Outpatient Laboratory Fee Schedule as of January 2015: PDF - Excel
Note: To view a previous fee schedule, visit the Hospital Services page under Covered Services and go to the Archive section

Mental Health Substance Abuse Services Facility Fee Schedule as of Jan. 1, 2015: PDF

Mental Health Substance Abuse Services Non-facility Fee Schedule as of Jan. 1, 2015: PDF

Nursing Facility Laboratory Fee Schedule as of Jan. 2015: PDF - Excel
Note: To view a previous fee schedule or updates, visit the Nursing Facility Services page under Covered Services and go to the Archive section.

Occupational Therapy Fee Schedule as of Jan. 1, 2015: PDF

Physical Therapy Fee Schedule as of Jan. 1, 2015: PDF

Physician Fee Schedule effective Jan. 1, 2015: PDF - Excel
Note: To view a previous fee schedule, visit the Physicians Services page under Covered Services and go to the Archive section.

Physician Injectable Drug List (PIDL) Updated Feb. 16, 2015: PDF
PIDL Frequently Asked Questions: PDF
PIDL Tutorial: PDF
Note: To view a previous fee schedule, click on the Physicians Services page under Covered Services and go to the Archive section

Private Duty Nursing Supplies Fee Schedule as of April 2014: PDF

Preventive Health Fee Schedule as of January 2014: PDF - Excel

Speech Therapy Fee Schedule as of Jan. 1, 2015: PDF

Transportation Fee Schedule effective January  2011: PDF

Vision Fee Schedule as of January 2014: PDF

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Rate Schedules

Ambulatory Surgical Center Services as of November 2009: PDF

Community Mental Health Centers (CMHC) Modifiers and Rates
CMHC New Services and Codes Effective January 2014

  • CMHC Procedure Codes Modifiers Rates as of July 2015: PDF
  • CMHC Modifiers: PDF
  • CMHC CPT Procedure Codes for crossover Claims Only as of January 2013: PDF

Dental Rates

Home Health Rates as of July 2006: PDF

Hospice Rates effective Oct. 1, 2014

Nursing Facility Rates effective July 1, 2015: PDF 
CPT codes approved for ancillary billing include:

  • X-rays and physical, speech and occupational therapy codes may be billed using the outpatient procedure codes from the Physicians fee schedule listed above. Oxygen may be billed using the durable medical equipment fee schedule listed above.
  • Ancillary payment methodology is outlined in 907 KAR 1:065, section 12. The current allowable procedure codes for billing nursing facility ancillary services are provided at the following links:

Renal Dialysis Rates - Medicare Part B Drugs effective July 2014 - PDF
Note: To view a previous fee schedule, visit the Renal Dialysis page under Covered Services and go to the Archive section

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Last Updated 8/18/2015