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West Virginia Medicaid Fee Schedules

​​​​Fee Schedule Updates

The following fee schedules will be effective April 1st through March 31st.

Ambulance Fee Schedule
Ambulatory Surgery Center Rates
Applied Behavior Analysis Fee Schedule​ 
Archive Fee Schedules
Clinical Lab Fee Schedule
Physician Administered Drug ASP Pricing File
Dental Fee Schedule
Durable Medical Equipment Services
DRG Weights Updates
Emergency Department Fee Schedule
Home Health Agencies
Hospice County Rates
Hospital OP Surgery Max Units
In State DRG Calculator - Excel Document
Inpatient Awaiting Placement Rate

Intermediate Care Facility (ICF/IID)  Fee Schedule - Excel Document
Licensed Beha​vioral Health Center Rates
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's (RBRVS) Fee Schedule
School Based Health Services (SBHS) Direct Services Rates
Visio​n Fee Schedule
 

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.

 

Department of Human Services - Bureau for Medical Services

350 Capitol Street
Room 251
Charleston, WV 25301
United States

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