2022-1 (4/1/2022)
Archived October 2, 2023 |
Fee Schedule (XLS 416KB)
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2021-1 (1/1/2021)
Archived December 22, 2022 |
Fee Schedule (XLS 296KB)
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2021-1 (1/1/2021)
2019-1 (9/15/2019)
Archived March 17, 2022 |
Procedure Codes (PDF 821KB)
Policy Guidelines (PDF 709KB)
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2019-1 (9/15/2019)
2019-1 (9/15/2019)
Archived January 1, 2021 |
Procedure Codes (PDF 802KB)
Fee Schedule (XLS 217KB)
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2018-1 (4/1/2018)
Archived August 15, 2019 |
Procedure Codes (PDF 377KB) |
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2014-1 (8/1/2014)
Archived August 15, 2019 |
Policy Guidelines (PDF 138KB) |
|
2018-1 (4/1/2018)
Archived August 15, 2019 |
Fee Schedule (XLS 134KB) |
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2016-1 (7/1/2016)
Archived March 13, 2018 |
Procedure Codes (PDF 93KB) |
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2016-2 (7/1/2016)
Archived March 13, 2018 |
Fee Schedule (XLS 140KB) |
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2016-1 (1/1/2016)
Archived June 28, 2016 |
Fee Schedule (XLS 132KB) |
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2014-1 (8/1/14)
Archived June 28, 2016 |
Procedure Codes (PDF 98KB) |
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2014-1
Archived December 30, 2015 |
Fee Schedule (XLS 93KB) |
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2008-1 (5/8/08)
Archived September 14, 2015 |
Prior Approval Guidelines (PDF 183KB) |
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2013-1 (4/1/13)
Archived July 11, 2014 |
Procedure Codes (PDF 131KB) |
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2013-1 (4/1/13)
Archived July 11, 2014 |
Policy Guidelines (PDF 117KB) |
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2013-1
Archived July 11, 2014 |
Fee Schedule (XLS 43KB) |
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2010-1
Archived April 9, 2013 |
Fee Schedule (XLS 38KB) |
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2010-1 (7/1/10)
Archived March 25, 2013 |
Procedure Codes (PDF 113KB) |
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2010-1 (7/1/10)
Archived March 25, 2013 |
Policy Guidelines (PDF 125KB) |
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2010-1 (11/18/10)
Archived June 17, 2011 |
150003 Billing
Guidelines (PDF 7.34MB) |
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2010-1 (5/31/10)
Archived January 6, 2011 |
150002 Billing
Guidelines (PDF 1.66MB) |
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2009-3
Archived July 19, 2010 |
Billing
Guidelines (PDF 853KB) |
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2009-1
Archived July 12, 2010 |
Fee Schedule (XLS 38KB) |
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2007 - 1
Archived July 12, 2010 |
Policy Guidelines (PDF 117KB) |
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2007 - 1
Archived July 12, 2010 |
Procedure Codes (PDF 37KB) |
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2009 - 2
Archived December 3, 2009 |
Billing
Guidelines (PDF 1.22MB) |
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2009 - 1
Archived October 1, 2009 |
Billing
Guidelines (PDF 1.37MB) |
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2008 - 3
Archived May 11, 2009 |
150001 Billing
Guidelines (PDF 413KB) |
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2008 - 2
Archived December 8, 2008 |
Billing
Guidelines (PDF 417KB) |
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3/2007
Archived November 25, 2008 |
Fee Schedule (XLS 27KB) |
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2006 - 1
Archived August 4, 2008 |
Prior Approval Guidelines (PDF 134KB) |
|
2008 - 1
Archived July 24, 2008 |
Billing
Guidelines (PDF 415KB) |
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2007 - 1
Archived January 18, 2008 |
Billing
Guidelines (PDF 416KB) |
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2004 - 1
Archived June 29, 2007 |
Billing
Guidelines (PDF 533KB) |
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2006 - 1 (5/06)
Archived April 13, 2007 |
Procedure
Codes & Fee Schedule (PDF 99KB) |
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| 2006 - 2 |
Policy
Guidelines (PDF 142KB) |
A new Section IV - Documentation Required with Prior Approval Requests has been added, which identifies documentation required when requesting prior approval for hearing aids and hearing aid repairs. |
| 2004 - 1 |
Prior Approval Guidelines (PDF 158KB) |
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| 2006 - 1 |
Policy
Guidelines (PDF 144KB) |
Policy relating to services provided
to children under the age of 22 has been added. Additionally,
the full scope of expected services to be rendered for the dispensing
fee has been listed. |
| 2005 - 1 |
Procedure
Codes & Fee Schedule (PDF 99KB) |
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