Fee Schedule Current Legend Fee Schedule Archives
after Standardization		 Fee Schedule Archives
before Standardization		 Legend Archives
EPSDT Health Services - Provider Type 70 01/01/2017 NONE
(effective 01/01/2017) (effective 06/30/14)
NONE
EPSDT Fee Schedules Current
Schedule
Effective Date		 Previous
Schedule
Effective Date		 Archives
EPSDT Preventive Services Fee Schedule 01/01/21
PDF		 12/01/13
PDF		 07/01/12
PDF
EPSDT Personal Care Services Fee Schedule 04/01/22
PDF		 07/01/19
PDF		 02/09/07
PDF
EPSDT Support Coordination Fee schedule 07/01/22
PDF		 01/01/22
PDF