Rate Charts

Adult Mental Illness and Severe Emotional Disorder (AMI & SED)

AMI Residential Rates eff: 10/01/20
Last Updated: Sep 1, 2020   File Size: 134.01 KB

AMI and SED Outpatient Rates eff: 10/01/20
Last Updated: Sep 1, 2020   File Size: 153.56 KB

SED Residential Rates eff: 10/01/2020
Last Updated: Sep 1, 2020   File Size: 106.77 KB

Autism Spectrum Disorder (ASD) Benefit Rate Sheet (v2) eff: 01/01/19
Last Updated: Sep 16, 2020 File Size: 209.86 KB

Fiscal Intermediary Fee Codes and Modifiers (v1) eff: 10/1/20
Last Updated: Jly 29, 2020 File Size: 112.06 KB

I/DD Outpatient Rates (v2) eff: 10/1/20
Last Updated: Sep 11, 2020 File Size: 161.96 KB

I/DD Residential Rates eff: 10/1/20
Last Updated: Sep 1, 2020 File Size: 118.32 KB

MHL - Master Fee Schedule List with Rates (v7) eff: 01/01/20
Last Updated: Aug 11, 2020 File Size: 192.76 KB

MI Health Link Outpatient Rate Summary (v6) eff: 10/01/19
Last Updated: Jly 9, 2020 File Size: 142.4 KB

SUD Rate Schedule (rev) eff: 08/10/20
Last Updated: Aug 11, 2020 File Size: 156.47 KB

SUD Treatment Rate Schedule eff: 06/01/20
Last Updated: Jun 22, 2020 File Size: 167.9 KB

Children's Waiver Standard Rates 10/01/20
Last Updated: Sep 1, 2020 File Size: 161.37 KB

SED Waiver Standard Rates 10/01/20
Last Updated: Sep 1, 2020 File Size: 146.52 KB