Fee Schedule Current Legend Fee Schedule Archives
after Standardization
Fee Schedule Archives
before Standardization
Legend Archives
EPSDT Health Services - Provider Type 70 02/02/2026 EPSDT Health Services Fee Schedule Legend (Excel)
EPSDT Personal Care Services Fee Schedule 04/01/2022 EPSDT Personal Care Services Fee Schedule Legend (Excel) NONE
EPSDT Fee Schedules Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
EPSDT Support Coordination Fee schedule 07/01/25
PDF
07/01/22
PDF
01/01/22
PDF