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Provider Billing, Payments, & Rates

Billing Code Matrix

Procedure Code Table PDF

Procedure Code Table (Monroe County Only) PDF

Developmental Disabilities Home and Community Based Medicaid Waiver Services Tiers 1 through 4 Tables

Memo - PDF

Developmental Disability Waiver Rates

 Effective April 1, 2012

Effective August 1, 2011

Effective July 1, 2011

  • Rates for Medicaid Waiver Services | 


    MS Excel      PDF
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