Fee Schedules


Anesthesia Fee Schedules Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Formula Based Anesthesia Services Current
PDF
Maternity Anesthesia 06/01/15
PDF
02/01/13
PDF

Durable Medical Equipment (DME) Fee Schedule Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
DME Enteral Nutrition Fee Schedule Current
PDF
DMEPOS Fee Schedule 01/01/16
PDF, EXCEL
01/01/15
PDF

EPSDT Fee Schedule Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
EPSDT Health Services Fee Schedule Current
PDF
EPSDT Medicaid Fee Schedule 12/01/13
PDF
07/01/12
PDF
EPSDT PCS Procedure Code/Rate Chart Current
PDF
EPSDT Psychological and Behavioral Services Fee Schedule 12/08/06
PDF

Greater New Orleans Community Health Connection (GNOCHC) Fee Schedule Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Greater New Orleans Community Health Connection 01/01/14
PDF
10/01/11
PDF

Home Health Services Fee Schedule Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Home Health Services Fee Schedule 08/01/16
PDF
04/01/16 - 07/31/16
PDF

Hospice Fee Schedules Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Hospice Rates, MSA Codes and Revenue Codes for Louisiana Hospice Program 01/01/16
PDF
10/01/15
PDF


Inpatient Hospital Per Diems Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Inpatient Hospital Per Diem Listing 07/01/16
PDF
07/01/15
PDF

KIDMED Program Fee Schedule Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
KIDMED Program Fee Schedule 01/22/10
PDF
10/15/07
PDF

Mental Health Rehabilitation Program Fee Schedule Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Mental Health Rehabilitation Fee Schedule 01/01/11
PDF
01/22/10
PDF

Multi-Systemic Therapy Fee Schedule Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Multi-Systemic Therapy Fee Schedule 01/01/11
PDF
08/01/10
PDF

Non-Emergency Medical Transportation (NEMT) Fee Schedules Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Public Transit 12/20/11
PDF
Non-Emergency Medical Transportation 10/01/14
PDF
12/01/10
PDF

OAAS Services Fee Schedules Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Adult Day Health Care Waiver Services 04/01/16
PDF
11/07/12
PDF
Community Choices Waiver Services 04/01/16
PDF
11/06/15
PDF
Long Term-Personal Care Services 07/01/12
PDF
11/01/09
PDF

OCDD Services Fee Schedules Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Children's Choice Waiver 06/29/16
PDF
06/30/14
PDF
EPSDT Early Intervention Services (EarlySteps) 01/01/14
PDF
01/01/11
PDF
New Opportunities Waiver 06/29/16
PDF
06/30/14
PDF
Residential Options Waiver 06/29/16
PDF
12/01/11
PDF
Supports Waiver 02/29/16
PDF
02/25/14
PDF

Other Fee Schedules Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Ambulance Fee Schedule 08/1/12
PDF
06/30/12
PDF
American Indians 638 Facilities Rates
(TOS 95) :
03/15/16
PDF

Federally Qualified Health Centers (FQHCs) Rates
(TOS 72)
07/01/16
PDF
07/01/15
PDF
Independent Rural Health Clinics (I-RHCs) Rates
(TOS 87)
07/01/16
PDF
07/01/15
PDF
Provider Based Rural Health Clinics (PB-RHCs) Rates
(TOS 79)
07/01/16
PDF
07/01/15
PDF



Pediatric Day Health Care Services Fee Schedule Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Pediatric Day Health Care Services Fee Schedule 09/01/16
PDF
07/01/12
PDF


Rehabilitation Services Reimbursement Fee Schedule Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Free Standing Rehabilitation Centers Fee Schedule 01/01/16
PDF, EXCEL
01/01/14
PDF
Rehabilitation Services Schedule 07/01/12
PDF
05/30/12
PDF

Take Charge Plus Fee Schedule Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Take Charge Plus Fee Schedule 02/24/16
PDF, EXCEL
01/01/15
PDF