2023 Medicare and Medicaid Fee Schedules Medicare Fee

2023 Medicare and Medicaid Fee Schedules

AOA’s practice success resources were developed by AOA to help doctors of optometry address

common issues in practice. This resource includes a compilation of Medicare and Medicaid Fee

Schedules. The information below should be considered educational information and should not be

considered legal advice.

Medicare Fee Schedules by Jurisdiction

Map

Noridian Jurisdiction F

Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming

Link to fee schedule

Noridian Jurisdiction E

California, Hawaii, Nevada, American Samoa, Guam, Northern Marina Islands

Link to fee schedule

NGS Jurisdiction 6

Illinois, Minnesota, Wisconsin

Link to fee schedule

NGS Jurisdiction K

Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont

Link to fee schedule

WPS Jurisdiction 5

Iowa, Kansas, Missouri, Nebraska

Link to fee schedule

WPS Jurisdiction 8

Indiana, Michigan

Link to fee schedule

CGS Jurisdiction 15

Kentucky, Ohio

Link to fee schedule

Palmetto Jurisdiction J

Alabama, Georgia, Tennessee

Link to fee schedule

2023 Medicare and Medicaid Fee Schedules

Palmetto Jurisdiction M

North Carolina, South Carolina, West Virginia, Virginia

Link to fee schedule

FCSO Jurisdiction N

Florida, Puerto Rico, USVI

Link to fee schedule

Novitas Jurisdiction L

DC, Delaware, Maryland, New Jersey, Pennsylvania

Link to fee schedule

Novitas Jurisdiction H

Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, Texas,

Indian Health & Veterans Affairs

Link to fee schedule

2023 Medicare and Medicaid Fee Schedules

Medicaid Fee Schedules by State

Alabama - https://medicaid.alabama.gov/content/Gated/7.3G_Fee_Schedules.aspx

Alaska - https://manuals.medicaidalaska.com/medicaidalaska/providers/feeschedule.asp

Arizona - https://www.azahcccs.gov/PlansProviders/RatesAndBilling/FFS/

Arkansas - https://humanservices.arkansas.gov/divisions-shared-services/medical-services/helpful-

information-for-providers/fee-schedules/

California - https://files.medi-cal.ca.gov/Rates/RatesHome.aspx

Colorado - https://hcpf.colorado.gov/provider-rates-fee-schedule

Connecticut - https://www.ctdssmap.com/ctportal/provider/provider-fee-schedule-download

Delaware -

https://medicaidpublications.dhss.delaware.gov/docs/DesktopModules/Bring2mind/DMX/API/Entries/

Download?Command=Core_Download&EntryId=1306&language=en-US&PortalId=0&TabId=94

Florida - https://ahca.myflorida.com/medicaid/rules/rule-59g-4.002-provider-reimbursement-

schedules-and-billing-codes

Georgia -

https://www.mmis.georgia.gov/portal/PubAccess.Provider%20Information/Fee%20Schedules/tabId/20/

Default.aspx

Hawaii - https://medquest.hawaii.gov/en/plans-providers/fee-for-service/fee-schedules.html

Idaho - https://publicdocuments.dhw.idaho.gov/WebLink/Browse.aspx?id=3488&dbid=0&repo=PUBLIC-

DOCUMENTS&cr=1

Illinois - https://hfs.illinois.gov/medicalproviders/medicaidreimbursement.html

Indiana - https://provider.indianamedicaid.com/ihcp/Publications/MaxFee/fee_home.asp

Iowa - https://hhs.iowa.gov/ime/providers/csrp/fee-schedule

Kansas - https://portal.kmap-state-ks.us/PublicPage/ProviderPricing/FeeSchedules

Kentucky - https://www.chfs.ky.gov/agencies/dms/Pages/feesrates.aspx

Louisiana - https://www.lamedicaid.com/provweb1/fee_schedules/feeschedulesindex.htm

Maine - https://mainecare.maine.gov/Provider%20Fee%20Schedules/Forms/Publication.aspx

2023 Medicare and Medicaid Fee Schedules

Maryland - https://health.maryland.gov/mmcp/pages/provider-information.aspx

Massachusetts - https://www.mass.gov/lists/provider-payment-rates-community-health-care-providers-

ambulatory-care

Michigan - https://www.michigan.gov/mdhhs/doing-

business/providers/providers/billingreimbursement/information-specific-to-different-providers

Minnesota - https://mn.gov/dhs/assets/mhcp-fee-schedule_tcm1053-294225.pdf

Mississippi - https://medicaid.ms.gov/providers/fee-schedules-and-rates/

Missouri - https://apps.dss.mo.gov/fmsFeeSchedules/default.aspx

Montana - https://medicaidprovider.mt.gov/21

Nebraska - https://dhhs.ne.gov/Pages/Medicaid-Provider-Rates-and-Fee-

Schedules.aspx#InplviewHashd0c735e5-ed55-4b8e-b5e1-056e3fd349dd=Paged%3DTRUE-

p_Fee_x0020_Schedule%3DVisual%2520Care%2520Services-

p_Effective_x0020_Date%3D20190701%252005%253a00%253a00-p_ID%3D159-

FolderCTID%3D0x012001-PageFirstRow%3D361

Nevada - https://dhcfp.nv.gov/Resources/Rates/FeeSchedules/

New Hampshire - https://nhmmis.nh.gov/portals/wps/portal/DocumentsandForms

New Jersey - https://www.state.nj.us/dobi/division_insurance/medfees/feeschedules.html

New Mexico - https://www.hsd.state.nm.us/providers/fee-for-service/

New York - https://omh.ny.gov/omhweb/medicaid_reimbursement/

North Carolina - https://ncdhhs.servicenowservices.com/fee_schedules

North Dakota - https://www.hhs.nd.gov/healthcare/medicaid/provider/fee-schedules

Ohio - https://medicaid.ohio.gov/resources-for-providers/billing/fee-schedule-and-rates/schedules-and-

rates

Oklahoma - https://oklahoma.gov/ohca/providers/claim-tools/fee-schedule.html

Oregon - https://www.oregon.gov/oha/hsd/ohp/pages/fee-schedule.aspx

Pennsylvania - https://www.humanservices.state.pa.us/OUTPATIENTFEESCHEDULE/Home/Submit

Rhode Island - https://eohhs.ri.gov/providers-partners/fee-schedules

2023 Medicare and Medicaid Fee Schedules

South Carolina - https://www.scdhhs.gov/resource/fee-schedules

South Dakota - https://dss.sd.gov/medicaid/providers/feeschedules/

Texas - https://public.tmhp.com/feeschedules/StaticFeeSchedule/FeeSchedules.aspx

Utah - https://health.utah.gov/stplan/lookup/CoverageLookup.php

Vermont - https://dvha.vermont.gov/providers/codesfee-schedules

Virginia - https://www.dmas.virginia.gov/for-providers/rates-and-rate-setting/

Washington - https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-

billing/provider-billing-guides-and-fee-schedules#billing-guides-fee-schedules

West Virginia - https://dhhr.wv.gov/bms/FEES/pages/default.aspx

Wisconsin -

https://www.forwardhealth.wi.gov/WIPortal/Subsystem/Publications/MaxFeeDynamicSearch.aspx

Wyoming - https://www.wyomingmedicaid.com/portal/fee-schedules