Payer contract negotiations are often ugly, but they don't have to be What if you have Supplemental Security Income (SSI)? new affordable housing in richmond bc; johns hopkins all children's hospital t shirt Men umschalten. Text. 2233 0 obj <>stream Eleanor Slater Hospital Rates 2019-Interim, EOHHS responses to public comments regarding Independent Provider rates, Home Stabilization - Emergency Case Management during COVID-19 Crisis, Outpatient Hospitals, Outpatient Psych, and DialysisAmbulatory Surgical Centers and Professional Providers, For the following items, visit the Hospital Provider Directory page, APC Fee Schedule 2022 Updated August 2022, Laboratory Procedure CodesUpdated October 2022, Radiology Procedure CodesUpdated October 2022, J Code Conversion Table Updated February 2023. ), Although every effort is made to keep the schedule accurate and current, it is not the official document of record. LOCATION. Fee schedule data will span the last three years. Optum is an equal opportunity employer. Reimbursement in the Public Behavioral Health System (PBHS): A fee schedule is a complete listing of service codes and fees used to pay services within the PBHS system. PDF KY Medicaid Fee-for-Service Behavioral Health & Substance Abuse Child Health Plan Plus Fee-for-Service (FFS) Rates. 173 0 obj <>stream Doing Business with the Defense Health Agency, Defense Medical Readiness Training Institute, Defense Health Program Agency Financial Report, 2020 DOD Womens Reproductive Health Survey (WRHS), Conducting Health Care Surveys in the DOD, Transition from CAHPS Version 4.0 to Version 5.0, TRICARE Inpatient Satisfaction Surveys (TRISS), 2018 Health-Related Behaviors Survey (HRBS), 2015 Health-Related Behavior Survey Active Duty, 2014 Health Related Behavior Survey of Reserve Component Leadership Fact Sheet, 2011 Health-Related Behavior Survey Active Duty, 2009 Health-Related Behavior Survey - Reserve Component, Clinical Improvement Priorities for MTF Providers, Small Market and Stand-Alone MTF Organizations, Defense Health Agency Region Indo-Pacific, Comprehensive Changes to the Autism Care Demonstration, Applied Behavior Analysis Maximum Allowed Amounts, Blend Rate Method for Radiology for Cancer and Children's Hospitals, TRICARE CHAMPUS ASA and DRG Weights Summary, TRICARE Rate Variables and Cost-Share Per Diems, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Limits on Number of Services without Override Code, Mental Health and Substance Use Disorder Facility Rates, Military Medical Support Office at DHA, Great Lakes, Information for Patients: TRICARE Pharmacy Program, Information for Pharmaceutical Manufacturers, Contact the TRICARE Retail Refund Team and FAQs, Opioid Overdose Education and Naloxone Distribution Program, DHA Pharmacy Operations Support Contract Data Management Team, Prescription Drug Monitoring Program Procedures, Quality, Patient Safety & Access Information (for Patients), Quality & Safety of Health Care (for Health Care Professionals), Eliminating Wrong Site Surgery and Procedure Events, The Global Trigger Tool in the Military Health System Guide, Patient Safety & Quality Academic Collaborative, Patient Safety Champion Recognition Program, Armed Forces Billing and Collection Utilization Solution, Health Plan and Policy Billing Guidelines, Health Insurance Portability and Accountability Act, UBO Standard Insurance Table (SIT)/Other Health Insurance (OHI), Air Force Wounded Warrior Northeast Warrior CARE Photo Essay, Ensuring Access to Reproductive Health Care, Military Acute Concussion Evaluation 2 (MACE 2), ABACUS Custom Tools Reports_Webinar Posttest, ABACUS Electronic Billing_Webinar Posttest, DHA UBO Webinar ABACUS Custom Tools Reports, DHA UBO Webinar_ABACUS Electronic Billing, ABA Maximum Allowed Rates Effective May 1 2022, 2000-2022 Q3 DOD Worldwide Numbers for TBI, 5 MinuteConsult Mobile App & CME Instructions, ClinicalKey for Nursing Clinical Updates CE Instructions, ABA Maximum Allowed Rates Effective May 1, 2022, ABA Maximum Allowed Rates Effective May 1 2021, ABA Maximum Allowed Rates Effective August 1, 2021, ABA Maximum Allowed Rates Effective May 1 2020, ABA Maximum Allowed Rates Effective May 1 2019, ABA Maximum Allowed Amounts Effective May 1, 2018, Applied Behavior Analysis Maximum Allowed Amounts - Effective May, 1, 2017, Applied Behavior Analysis Maximum Allowed Amounts - Spring 2016, RAND Report: TRICARE Applied Behavior Analysis Benefit. new rates effective, and what are they? The rates are effective April 1, 2016, for the localities below numbered 301-389. Rates are also available on the Provider Web Portal at www.medicaid.nv.gov through the Search Fee Medicaid Reimbursement and Billing. ?GsY>,ud%/5T|.!G)GMY3Q Customers choose which plans to offer to their employees. Fee-For-Service - azahcccs.gov The Agency adopted the American Medical Association (AMA) Current Procedural Terminology (CPT) codes for the Florida Medicaid Behavior Analysis fee schedule, effective August 1, 2022. The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. Fee Schedules - General Information | CMS The ABA Fee Schedule can be viewed on the Autism Providers Information page, here, State Fiscal Year 2023 (Effective October 1, 2022), State Fiscal Year 2023 (Effective July 1, 2022), State Fiscal Year 2022 (Effective January 1, 2022), State Fiscal Year 2022 (Effective July 1, 2021), State Fiscal Year 2022 (Effective November 1, 2021), State Fiscal Year 2021 (Effective January 1, 2021), State Fiscal Year 2021 (Effective July 1, 2020), State Fiscal Year 2020 (Effective July 1, 2019 - June 30, 2020). The schedules listed below are the SoonerCare (Oklahoma Medicaid) maximum allowable fees which are in effect as of the date of the report. Magellan will adjust California claims with dates of service Fourteen associated Category III codes (0359T, 0360T, 0361T, 0363T-0372T and 0374T) have been deleted. PDF Maryland Program Applied Behavior Analysis (ABA) Provider Manual The current ASC code, rates, and assigned level can be found to the right under the "Current Fee Schedules". {8V_OuvERYq_& zxup 08o! This data is treated as confidential and is stored securely in accordance with applicable law and regulations. 97152. Providers should update their billing systems to reflect the new rates in order to be reimbursed correctly. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. These rates are effective retroactively to Jan. 1, 2019. PDF Applied Behavior Analysis (ABA) - Nevada Higher of Original ACD Rates--$125/$75/$50, December 23, 2016 Posted Rates, or Updated 2017 Locality Rates. Workers' Compensation and Property and Casualty Pharmacy Benefit Management For additional information or questions, please contact the Customer Service Help Desk at 401-784-8100. BG@OUv7m*Bp8c8?/838 Discover the benefits of an HSA and how it works. Text. L{uMXDJ&20Xl6@Z!WnGg* G:2 A participant cannot be billed for the difference . The current 2022 fee schedules are available on the Agency's reimbursement schedule page, Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes. It lists the maximum reimbursement rates payable by the Medi-Cal program for covered procedures described in the HCPCS and CPT coding system. P.O. We connect people to an extensive network of providers, innovative tools that improve access to care and resources that inspire them to be more engaged in their own wellness. Procedure codes and/or fee schedule amounts listed do not guarantee payment, coverage or amount allowed. Alaska Medical Assistance Health Enterprise Portal Not all plans include out-of-network benefits. 140 0 obj <> endobj aq }?U|Zd_KiJp)l>1gjdzAjUf#RN8]N#. Separate CFs are established for public and private programs. Reimbursement Rates for ABA, Medicaid, and Commercial Insurance 33 State Reimbursement per Hour, Master's or Doctoral Level a Reimbursement per Hour, Bachelor's Level or Tech a Program Title Therapeutic Behavioral Services Hourly Rate (H2019 Unless Noted) a New Jersey $113.00, doctorate; $85.00, master's $73.00, bachelor's Renewal Waiver Optum Bank Behavioral Health - Tennessee If you are a current Medicaid provider, you may refer to the Pricing section on our. Outpatient Behavioral Health and Substance Abuse Services Payment rates are established using state developed relative value weights for outpatient mental health and substance abuse services and a monetary conversion factor (CF), to determine the overall level of payment. 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Starting January 1, 2020, the Ambetter fee schedule name will change from Payor Medicare Fee Schedule to Payor Fee Schedule. The reimbursement rates reflected in these fee schedules are in effect as of the run date for the report. Department of Medical Assistance Services, DMAS - Department of Medical Assistance Services, Breast & Cervical Cancer Prevention and Treatment Act, Addiction and Recovery Treatment Services, Hospital Presumptive Eligibility Information, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Behavioral Health Service Utilization and Expenditures, Legislative and Congressional District Reports, Monthly Expenditure Reports of the Medicaid Program, Nursing Facility Value-Based Purchasing Program, CHIP State Plan and Waiver-Related Documents, | | s -w-po-ny | | | Deutsch | | Tagalog | Franais | | Igbo asusu | | | Espaol | | Ting Vit | Yorb. Leaders Emphasize Inspiring Change Creating Community at DHAs Black History Month Observance. Make sure your mailing address and phone number is up-to-date. 7-1-21), PMHS Individual Practitionerand OMHC Rates (Eff -11-01-21), PMHS PRP and Specialty Programs Rates (Eff-11-01-21), PBHS Gambling Fee Schedule (Eff-11-01-21), PBHS SUD-Gambling Fee Schedule (Eff-11-01-21), PBHS SUD Gambling Residential (Eff-11-01-21), Health Homes Fee Schedule (Eff -11-01-21), PMHS Individual Practitionerand OMHC Rates (Eff -01-01-21), PMHS PRP and Specialty Programs Rates (Eff-01-01-21), PBHS Gambling Fee Schedule (Eff-01-01-21), PBHS SUD-Gambling Fee Schedule (Eff-01-01-21), PBHS SUD Gambling Residential (Eff-01-01-21), Health Homes Fee Schedule (Eff -01-01-21), PMHS Individual Practitionerand OMHC Rates (Eff -07-01-20), PMHS PRP and Specialty Programs Rates (Eff-07-01-20), PBHS Gambling Fee Schedule (Eff-07-01-20), PBHS SUD-Gambling Fee Schedule (Eff-07-01-20), PBHS SUD Gambling Residential (Eff-07-01-20), PMHS PRP Billing Cascade (Eff-07.01.19 - 06.30.20).pdf, PMHS Individual Practitioner and OMHC Rates (Eff-07.01.19 - 06.30.20).pdf, PMHS PRP and Specialty Programs Rates (Eff-07.01.19 - 06.30.20).pdf, PMHS 1915iFee Schedule (Eff-07.01.19 - 06.30.20).pdf, SUD Fee Schedule (Eff-07.01.19 - 06.30.20).pdf, SUD Fee Schedule (Eff-01.01.20 - 07.30.20), 8-507/PWC Grant Program Fee Schedule(Eff. Fee Schedules & Guides - Optum This page last updated on February 24th, 2023. The following applied behavior analysis (ABA) reimbursement rates are for care received under the Autism Care Demonstration. 'y)5-^EFv7=hmZDj dpeW DglEV={ 8oKp\vmn*B! !/Q_F /4D|~(0UleqoLJS o6vv%I_SM& 0362T $18 $31.25 California providers only - Do I need to resubmit my previously paid claims? Results and . These rules outline the interventions that may be implemented in combination and involve the use of two or more coordinated interventions by the same or differing providers. The following entities comprise the Optum Workers Compensation and Auto No-Fault division: PMSI, LLC, dba Optum Workers Compensation Services of Florida; Progressive Medical, LLC, dba Optum Workers Compensation Services of Ohio; Cypress Care, Inc. dba Optum Workers Compensation Services of Georgia; Healthcare Solutions, Inc., dba Optum Healthcare Solutions of Georgia; PMSI Settlement Solutions, LLC, dba Optum Settlement Solutions; Procura Management, Inc., dba Optum Managed Care Services; Equian, LLC, collectively and individually referred as Optum. Optum and its respective marks are trademarks of Optum, Inc. All other brands or product names are trademarks or registered marks of their respective owners. DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101. Optum Bank HSA Login: Tax-Free - nikgcd.tinosmarble.com At Optum, we are transforming healthcare nationally while providing Physician-led care locally. Idaho Medicaid Providers - Idaho Department of Health and Welfare 2227 0 obj <>/Filter/FlateDecode/ID[<309C716907E3964092BB2FD022C835E1><0599E2A7AAAF3E4493E8784401AE5078>]/Index[2210 24]/Info 2209 0 R/Length 85/Prev 127595/Root 2211 0 R/Size 2234/Type/XRef/W[1 2 1]>>stream Medi-Cal: Medi-Cal Rates - Medi-Cal: Provider Home Page This rate increase will be retro-actively effective for dates of service on or after July 1, 2022. Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes, Insure Oklahoma Dental Fee Schedule 01/01/21. 1-1-18).pdf, Maryland Recovery Network(MDRN) Fee Schedule 09-30-16.pdf. Provider Services (405) 522-6205 (800) 522-0114more contacts . Fee Schedule - Welcome To The Oklahoma Health Care Authority 101 CMR 330.00: Rates for Team Evaluation Services. Idaho Medicaid Public Schedule of Premiums and Cost-Sharing In accordance with federal regulations at 42 CFR 447.57, the Department of Health and Welfare is making available a public schedule describing current Medicaid premiums and cost . He also recommends evaluating fixed rates in health plan contracts. endstream endobj 141 0 obj <> endobj 142 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/Properties<>>>/Rotate 0/TrimBox[36.0 36.0 639.0 819.0]/Type/Page>> endobj 143 0 obj <>stream This indicates that you are leaving our site and these links to other sites are for informational purposes only. Behavior ation assessment : Psychologist/ BCBA-D/BCBA : $28.60. The response rate was 62.8 % . Optum is breaking new ground in behavioral health by driving better overall health outcomes while bringing down the total cost of care. VA Fee Schedule - Community Care - Veterans Affairs Optum Reimbursement Policies Add-on Codes - Update Approved 1-20-2023 Autism/Applied Behavior Analysis (ABA) Reimbursement Policy - New effective 9/15/2022 Behavioral Health Services Documentation - Updated 10-24-2022 Bundle Codes Reimbursement Policy - Updated 10-24-2022 Consultation Services Reimbursement Policy - Update Approved 1-20-2023 Legal - Payment of out-of-network benefits | UnitedHealthcare reimbursement. While providing stability, fixed rates aren't always the hospital's best reimbursement option and should be adjusted up each year due to inflation and supply costs. PDF Applied Behavioral Analysis (ABA) Billing Guide - Washington hb```,b@(qim= b bF#6Fa, Executive Office of Health and Human Services, Office of the GovernorRI.govElected OfficialsState Agencies (A-Z), 2023 And finally, he said, look beyond rates to assess and nurture long-term payer-provider partnerships. All (9) Publications (8) Reports (1) ABA Maximum Allowed Rates Effective May 1, 2022 Publication 4/1/2022 Recommended Content: The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. gs>FY.itt Posted 10:48:11 AM. PDF NEW YORK STATE WORKERS' COMPENSATION BEHAVIORAL HEALTH - OptumCoding Fee Schedules Pediatric Physician Rate Increase RI Medicaid has implemented a rate increase to allow physicians billing for recipients under the age of 21 years to receive rates equivalent to Medicare. State Medicaid agencies contract with Blue Cross and/or Blue Shield Plans as Managed Care Organizations (MCOs) to provide comprehensive Medicaid benefits on a risk basis. The reimbursement rate applied to a claim depends on the claim's date of service because Arkansas Medicaid's reimbursement rates are date-of-service effective. optum aba reimbursement rates. Plus One an Optum Company hiring Exercise Specialist in Smyrna For a full explanation of the procedure codes and modifiers listed here, refer to your Arkansas Medicaid provider manual. optum aba reimbursement rates Using Medicaid with Medicare or other Medical Insurance, ARKids Additional Resources That Can Help Your Family, Important Phone Numbers for ARKids First Program, Life360 Serious Mental Illness and Substance Use Hospitals, Life360 Risk Pregnancies and Eligible Maternal Hospitals, Arkansas Lifespan Respite Search Locator (Registry), Fiserv/Electronic Visit Verification (EVV), Office of Legislative & Intergovernmental Affairs, Office of Communications & Community Engagement, DYS STATE REQUIRED INFORMATION ~ SCHOOL YEAR 2022-2023, Arkansas Juvenile Assessment & Treatment Center (AJATC), Arkansas External Quality Review Organization (EQRO) Technical Report, Current Job Opportunities-(all categories), (DCFS) Division of Children and Family Services, Provider Manuals and Other Provider Notifications, Adult Behavioral Health Services for Community Independence, ARKids First-B Screenings / SCHIP Vaccines, Autism Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Child Health Services/Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Early Intervention Day Treatment Academic Medical Centers Services, Hospice (October 1, 2017 September 30, 2018), Hospice (October 1, 2018 September 30, 2019), Hospice (October 1, 2019 September 30, 2020), Hospice (October 1, 2020 September 30, 2021), Hospice (October 1, 2021 September 30, 2022), Hospice (October 1, 2022 September 30, 2023), Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services, Prosthetics (includes Durable Medical Equipment and Orthotics), Rehabilitative Services for Youth and Children. p o{ AUeFUin++i2m'l&!sY"z Home > Divisions & Shared Services > Division of Medical Services > Helpful Information for Providers > Fee Schedules. PPO/Out of Network Plans Optum Customer Service: CCN Region 1: 888-901-7407 CCN Region 2: 844-839-6108 CCN Region 3: 888-901-6613. Clinical Diagnostic Laboratory Test, Upper Payment Limit. optum aba reimbursement rates - theicebird.at As a part of OptumCare, the largest network of medical groups in the nation, MedExpr ess is seeking a Part Time Urgent Care Physician to join our team in Midlothian, Virginia. Medicaid Reimbursement and Billing - Horizon NJ Health ABA intensive day treatment and ongoing one-on-one ABA therapy require prior authorization before the client receives services. Optum Maryland has provided a listing of Mental Health, Substance Use Disorder and other specific levels of care by fee schedules for Providers to use. Visit the EAP webpage for more information. Services reimbursed based on provider specific (contracted rates) or specialty based rates are not included under Title XIX. at ion wth all other ABA except H0031 97151, 97152, 97153, 97155, $2.50/unit unit 97155 (replaces components of H0032, H2012 & H2019) BCBA/BCaBA PA Required Face to Face 1:1 Service ABA Treatment *32 units units/day (8 hours/day) - Adaptive Behavior Treatment ABA Treatment with protocol modification; resolves one or more Dont miss important renewal information. Risk management and quality performance, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Fee Schedules - Arkansas Department of Human Services Rates Reimbursement rates for Applied Behavior Analysis (ABA) provider type 85 are listed online on the DHCFP website on the Rates webpage. Both federal and state regulations guide these relationships, but the eligible population, covered benefits and specific rules regarding . hbbd``b`@`9@c%"ADH$D+#HLd@ PA&30RDgL` : Login Individuals get the most out of their care when they are actively involved. 97157-HN $0 $6.25 ea./15 min. The maximum allowable rate is generally the applicable Medicare rate published by the Centers for Medicare and Medicaid Services (CMS). %PDF-1.6 % from forth day's path and titan's fiery wheels meaning abandoned churches for sale in cleveland ohio 2210 0 obj <> endobj With groundbreaking data analytics and insights lighting the way, we offer a more intelligent approach to integrating care for greater impact. 07-01-19).pdf, Health Homes Fee Schedule (Eff -07-01-19).pdf, Combination of SUD Services (Eff-07-1-17).pdf, PBHS Reimbursement Schedule A (Eff-07-01-18 Rev-03-14-19).pdf, PBHS Reimbursement Schedule B (Eff-07-01-18 Rev-03-14-19).pdf, 8-507/PWC Grant Program Fee Schedule(Eff. Optum Reimbursement Policies - Provider Express Mental Health License Practitioner Levels: Practitioner Level 1: Physician/Psychiatrist Practitioner Level 2: Psychologist, CNS-PMH Practitioner Level 3: LCSW, LPC, LMFT, RN Practitioner Level 4: LMSW; LAPC; LAMFT 101 CMR 331.00: Prescribed Drugs. 4 days ago. wortman family alaska 0 Pioneering, proprietary analytics generate insights that help guide people to high-impact, integrated care tailored to their individual needs. JOB DETAILS. *,j>u :\& The following applied behavior analysis (ABA)reimbursement rates are for care received under the Autism Care Demonstration. 158 0 obj <>/Filter/FlateDecode/ID[<9D1D62B4F3091642A22D53E2FA0FA27C><6FC4B0584975E54D8A36487B6EE811E2>]/Index[140 34]/Info 139 0 R/Length 88/Prev 250029/Root 141 0 R/Size 174/Type/XRef/W[1 2 1]>>stream The IHS rate is mandated by the Department of Health and Human Services and is published yearly in the Federal Register. Optum financial HSA is a tax advice that helps you pay for qualified medical expenses. Your Medicaid License impacts the "Practitioner Level" that you have which influences your reimbursement rates. Clients often receive a contractual discount of 35-45 percent. Applied behavior analysis (ABA) provider FAQs - Aetna . PDF ABA Fee Schedule (Effective July 1, 2020) - maryland.optum.com Were making it easier for members to get the right care, at the right time, in the right setting.. No. zoP!|`wo`O|%@/JY -m^)OMZ?W-^jZj$760TUe=xO;Wv/vLJ#U:MgGj*YY^W_ wN Hauptmen. Rate updated "Y" 90785 Interactive Complexity Use in conjunction with codes for diagnostic psychiatric evaluation [90791, 90792], psychotherapy [90832, 90834, 90837], psychotherapy when performed with an E&M service [90833, 90836, 90838, 99201-99205, 99213-99215], and group psychotherapy [90853] Event: 10.90 9.26: 8.72 7.63: 5.45 Y This is to differentiate the Ambetter fee schedule from the traditional Medicare fee schedule and avoid confusion. Different areas of a provider's office, such as billing and medical services, may have different uses for these fee schedules. The reimbursement rate applied to a claim depends on the claims date of service because Arkansas Medicaids reimbursement rates are date-of-service effective. Subscribe to our blogs. Behavioral Health Solutions for Health Plans | Optum Interest Rates & Fees - Optum Bank ant and dec santander advert cast. Optum will collaborate with you to assess your entire therapy spending and provide personalized solutions to help you save money. %PDF-1.6 % Billing is per encounter, not per specific service. Max Fee Home - Wisconsin hVr8~}Lf7[38m#6vcGA ~8D!w=HQ4i1 "pA1s3KFB(a. Both schedules provide the same reimbursement, so this change will not have a financial impact. Optum 855.HERE4TN (855.437.3486) 24/7 Here4TN.com First Call Provider Search. The comparison includes reimbursement rates, copayments and annual caps. %%EOF See the 2021 rate information. HWn\7Rd3X`6i;+O&sNow;6jY,!o%R?K~Q+|}? escription Provider Rate Time Daily Max Limitations 97151 Behavior identification assessment Psychologist/ Update: Ambetter Fee Schedule - Superior HealthPlan Read how peer support services improve clinical outcomes by fostering recovery and promoting empowerment. Fee schedule information will be updated to the web on a weekly basis. Welcome to Optum Bank. Learn more about our healthcare financial products, including health savings accounts, flexible spending accounts, stop loss services, and electronic payment/processing services. Below you will find downloadable state-by-state guides to the fee schedules. Wisconsin BadgerCare Plus notifies providers of significant rate changes. RI Medicaid has implemented a rate increase to allow physicians billing for recipients under the age of 21 years to receive rates equivalent to Medicare. Fee Schedules - Optum Department of Medical Assistance Services (DMAS) Rate Setting Information Medicaid Reimbursement Graduate Medical Education (GME) Funding Opportunity Other Fee-For-Service (FFS) Outpatient Rehab Agencies Home and Community Based Services (HCBS) Inpatient Hospital Rates (ACUTE, Psych, Rehab) And GME, IME, DSH LUMP SUM Reimbursement Outpatient Providers should update their billing systems to reflect the new rates in order to be reimbursed correctly.The new rates can be viewed on the bottom of the Physician Directory page.