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1. All codes in this document are under review by the 2025 Medicaid Provider Rate Review Advisory Committee (MPRRAC).
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2. Tab "2025 MPRRAC Main" includes the following services and their subcategories: Dialysis (Non-Facility), Eyeglasses and Vision, Laboratory and Pathology, Outpatient PT/OT/ST (Physical Therapy, Occupational Therapy, and Speech Therapy), Physician Services (Cardiology, EEG Ambulatory Monitoring, ENT, Family Planning, Gastroenterology, Health Education, Injections and Other Miscellaneous J-Codes, Neuro/Psychological Testing Services, Ophthalmology, Primary Care E&M, Radiology, Respiratory, Sleep Study, Vaccines and Immunizations, Vascular, Women's Health, Other), and Early Intervention TCM, Targeted Case Management (Case Management and Transition Coordination).
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* "Current CO Rate (July 2024)" (column F): This was the most recent published rate when the analysis was conducted (July 2024 fee schedule) and could differ from the Janurary 1, 2025 rates, as the Janurary 1, 2025 fee schedule was published after the review.
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* "Note" (column J): Any information specific to certain codes is added here.
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3. Tab "Dialysis Facility Services" includes Dialysis and Dialysis-related Services (Facility).
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* "Current CO Rate (July 2024)" (column E): This was the most recent published rate when the analysis was conducted (July 2024 fee schedule).
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* "Note" (column I): Any information specific to certain codes would be added here.
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4. Tab "DME & POS" includes Durable Medical Equipment (DME) and Prosthetics, Orthotics, and Disposable Supplies (POS).
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* "Current CO Rate (July 2024)" (column H): This was the most recent published rate when the analysis was conducted (July 2024 fee schedule).
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* "Note" (column L): Any information specific to certain codes would be added here.
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5. Tab "Specialty Care Services" includes Specialty Care Services, i.e., Skin Substitutes and E-Consult Codes.
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* "Current CO Rate (July 2024)" (column F): This was the most recent published rate when the analysis was conducted (July 2024 fee schedule). and could differ from the Janurary 1, 2025 rates, as the Janurary 1, 2025 fee schedule was published after the review.
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* "Note" (column J): Any information specific to certain codes would be added here.
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6. Tab "DIDD" includes Dental IDD Services.
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* "Current CO Rate (July 2024)" (column E): This was the most recent published rate when the analysis was conducted (July 2024 fee schedule). and could differ from the Janurary 1, 2025 rates, as the Janurary 1, 2025 fee schedule was published after the review.
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* "Note" (column L): Any information specific to certain codes would be added here.
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