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Reimbursement Unit

Outpatient Hospital Resources

For questions, contact
Michael Ashby
801-538-6107



The Medicaid Outpatient Fee schedule report is no longer being generated. The payment of claims will still follow the process outlined in the Utah Medicaid State Plan, which may be found at: http://www.health.utah.gov/medicaid/stplan/A_4-19-B.pdf

Medicaid coverage may be found on the Coverage and Reimbursement Code Lookup tool. Additionally, reimbursement for services not priced using OPPS or CAH methodology is based on the established Medicaid fee schedule found at: http://health.utah.gov/medicaid/stplan/lookup/CoverageLookup.php

Medicare Outpatient Code Editor, OPPS Pricer, fee schedules and other information may be found on CMS’s website at: https://www.cms.gov/


Correspondence:


Lab Panel and Other Payments Clarification Letter 2015-07-10

 

Fee Schedules

2015

October 1, 2015

July 1, 2015

April 1, 2015

January 1, 2015

 

  

Last edited February 29, 2016