EPSDT Fee Schedules Print

Fee Schedule	Current	Legend	Fee Schedule Archives after Standardization	Fee Schedule Archives before Standardization	Legend Archives
EPSDT Health Services - Provider Type 70	08/29/2025		Select a Date 06/09/2025 01/01/2017	Select a Date (effective 01/01/2017) (effective 06/30/2014)	09/05/25
EPSDT Preventive Services Fee Schedule	01/01/2021		NONE	Select a Date (effective 01/01/2021) (effective 12/01/2013) (effective 07/01/2012)	09/05/25
EPSDT Personal Care Services Fee Schedule	04/01/2022		NONE	Select a Date (effective 04/01/2022) (effective 07/01/2019) (effective 02/09/2007)	09/05/25

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