West Virginia Medicaid Fee Schedules

​​​​Fee Schedule Updates

1115 Demonstration - SUD
Ambulance Fee Schedule
Ambulatory Surgery Center Rates
Ancillary - Behavioral Health Clinic & Rehab Services
Anesthesia Fee Schedule - Excel Document
Applied Behavior Analysis Fee Schedule​ 
Assertive Community Treatment (ACT)
Clinical Lab Fee Schedule
Dental Fee Schedule
Durable Medical Equipment Services
DRG Weights Updates
Drug-Free Mom and Baby
Emergency Department Fee Schedule
Freestanding Birth Centers
Home Health Agencies
Hospice County Rates
Hospital OP Surgery Max Units
In State DRG Calculator - Excel Document
Independent Psychologist Network (IPN)
Inpatient Awaiting Placement Rate
Inpatient Rehabilitation Hospital Rate
Intermediate Care Facility (ICF/IID)  Fee Schedule - Excel Document
Licensed Beha​vioral Health Center Rates
Neonatal Abstinence Syndrome Services (NAS)
Nursing Facilities - Excel Document
Out of State DRG Calculator - Excel Document
P Code Fee Schedule - Excel Document
Palmetto Priced Codes Fee Schedule - Excel Document
Physician Administered Drug ASP Pricing File- Effective 7/1/2026
Physician's (RBRVS) Fee Schedule
Private Duty Nursing
School Based Health Services (SBHS) Direct Services Rates
Visio​n Fee Schedule
 
Archive Fee Schedules

Rate Analysis

 

Waiver Program Rates

Aged and Disabled Waiver (ADW) Rates
Children with Serious Emotional Disorder Waiver (CSEDW)
Intellectual/Developmental Disabilities​ Waiver (IDDW)
Traumatic Brain Injury Waiver (TBIW)

Disclaimer: Note that the absence or presence of a reimbursement code and its associated allowance on these pages does not guarantee Medicaid coverage of the item or procedure. Please refer to the appropriate West Virginia Medicaid provider manual for coverage determination.