These rules determine Go to the American Medical Association Web site. %PDF-1.4 % See Access to Baby and Child Dentistry (ABCD). Each main plan type has more than one subtype. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. If we have primary responsibility, we will pay as the primary payor. You can also view and share your digital ID card from the Aetna Health app. The ADA anticipates that the costs of providing care will substantially increase for many dental procedures. !f"UF =,T).ts Exams are covered every six months (if using a participating dentist, there is a $15 co-payment). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Preferred Dentist Program - MetLife Log in to find a dentist who accepts your coverage. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. When your st dentisuggests treatment, have him or her send a claim form, along with the proposed mtreneatt plans and supporting documentation to MetLife. Fee Schedules Please log in to your secure account to get what you need. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. It describes the services you have coverage for under your plan. hbbd```b`` If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. hb```, cb.0800(_^Xf5VtUm]81JRtsFGIGcSPaf@Z F y'f??XtO?T)c10 i pg*00Ok D & Do you want to continue? Search our network GEHA's 2023 Dental Benefits Need help choosing a plan? Just go to the Apple App Store or Google Play Store. 0000016734 00000 n The information you will be accessing is provided by another organization or vendor. 0000038186 00000 n Oral surgery You pay 20% of covered services for basic surgery; 50% of covered major surgery. 0000025338 00000 n CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. Verify the spelling of the street name or city. Or call Member Services at the number on your ID card. Check your plan documents or call Member Services for details. 0000001199 00000 n WebDenteMax is one of the largest leasable dental PPO networks in the United States. If you had coverage under a previous insurance carrier, youll have coverage for certain services by that plan even after your Aetna coverage begins. Direct Referral Dental Plan* MET185A. This page contains billing guides, fee schedules, and additional billing materials to help you submit: Coronavirus (COVID-19) information. All agency-contracted managed care organizations (MCOs) and the fee-for-service (FFS) program use the Apple Health PDL. required under the federal Americans with Disabilities Act of 1990 Members cant choose a pediatric dentist as their PCD. Aetna Dental members dont need a member ID card to get dental care. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Dental Yes, but some plans may limit the benefit to certain teeth. They arent a PCD. 0000136750 00000 n 0000036990 00000 n WebWorldwide dental coverage and plans with no deductible New Hires have 60 days to choose benefits. Disclaimer of Warranties and Liabilities. If you do not intend to leave our site, close this message. MetLifes Preferred Provider Organization (PPO) plans feature the MetLife Preferred Dentist Program, which is designed to save you money on dental services.1 You can choose from thousands of participating general dentists and specialists nationwide. CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical equipment, prosthetics, orthotics, and supplies. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). WebSavings from enrolling in the MetLife Federal Dental Plan will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of See Physician-related/professional services.). For previous versions, email us applehealthpharmacypolicy@hca.wa.gov. HS]O0}_qd_TILXv]@O.K{=p> X1R)MD*u 7p\y D2a\&bh1hq{.uNj`)9T@*pU&T!Bz $2ToWIGtfN.[4y7n1MDP0j=g*E^ X2SYJsOJ=I!J]D]KRihmOS-f&nR#wa{:f$f? How does the plan save me money? However, in order to receive maximum benefits, members must select and have care coordinated by a participating primary care dentist. They will be able to verify your coverage. How do I notify SEBB that my loved one has passed away? All services deemed "never effective" are excluded from coverage. and Section 504 of the Rehabilitation Act of 1973. WebDental insurance helps you plan for the costs of dental care. Any languages spoken in offices indicated in this search are self-reported. The primary payor pays claims as it normally does. CPT is a registered trademark of the American Medical Association. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Virginia members: In Virginia, DMO is called DNO (Dental Network Only). WebLike most group benefits programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, waiting periods, reductions of benefits, limitations Florida endstream endobj 4793 0 obj <>/Metadata 104 0 R/Names 4814 0 R/Pages 4786 0 R/Perms/Filter<>/PubSec<>>>/Reference[<>/Type/SigRef>>]/SubFilter/adbe.pkcs7.detached/Type/Sig>>>>/StructTreeRoot 113 0 R/Type/Catalog>> endobj 4794 0 obj <>stream Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Contact Us. endstream endobj 4799 0 obj <>stream QyJh6,j9nsm WL Ogf8jN%7}0Q_%uSiz7XtyLs^14(.x "H9 !dQ &`,[f*#@$c VvDxAl@&FY`)g c This information is neither an offer of coverage nor medical advice. n[F$6_KZi4k Dental Finding the right dentist is easy with the MetLife dental network, which includes over 146,000 providers Visit providers in or out of network with our flexible plans Members benefit from our negotiated fees, which are typically 30-45% less than average Some Quick Facts About MetLife WebCoordination of benefits provisions in dental benefits plans are a set of rules that are followed when a patient is covered by more than one dental benefits plan. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. %PDF-1.7 % It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. WebCritical access information for providers MHCP Fee Schedule (MHCP Fee Schedule (dental codes begin on page 55 of the PDF) Fraud, Waste, and Abuse: Combating Medicare Parts C and D Fraud, Waste and Abuse Training Web Based Training Course 2022 Fraud, Waste and Abuse Attestation Fraud, Waste and Abuse Training Log Additional Resources U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. Dental Treating providers are solely responsible for medical advice and treatment of members. All Rights Reserved. 0000016556 00000 n 20% PPO and out-of-state; 30% non-PPO. Choose a primary care dentist who participates in our network. Federal Dental Insurance | MetLife FEDVIP 2023 Dental What you pay will be based on a percentage of those charges (coinsurance). Fee Lookup 0000035971 00000 n <<5AE96FDB43CC14498BFAFB7B8207E05A>]/Prev 310465/XRefStm 1499>> Aetna Inc. and itsaffiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Ah{sX+AN=SPajl}la3)GfZC^T Top 3 reasons to choose Aetna Dental Your choice of any licensed dentist, in or out of network, worldwide, including virtual providers 0 You can view and print your ID card from your member website. As a MetLife Vision customer you can access language The PCD has primary responsibility for managing your dental care. hbba`b``30 Ga 0000037307 00000 n Vision hardware fee schedule is available through the ESD contract. endstream endobj startxref You can reach them using the number on your ID card. 0000038707 00000 n Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Your and Your Each covered family member can select their own. Predeterminations may not be available in all states. Find a dental plan thats right for you and your family, based on your needs and budget. H|y\GozfKQgxDxk5Q"E[/P# GYf>WWU]z #Fv;t|*DDG&)07"jnlM&r3fLIsg@L?2t&&:r@p>_hwxwm!1IcNp,<6nfT^IAI. Members should discuss any matters related to their coverage or condition with their treating provider. In case of a conflict between your plan documents and this information, the plan documents will govern. cy ?LkG1/p#- -vBw|4W:AB Q=,AfU3mknmwQn%z7 Information is believed to be accurate as of the production date; however, it is subject to change. Please see your plan documents. WebDelta Dental has the largest network of dentists nationwide. By contacting the Payor, a provider can identify which network fee schedule is being utilized for claim reimbursement and verify participation status with the plan. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. endstream endobj 4805 0 obj <>stream You must contact us. 0000050717 00000 n RNa: 0000021213 00000 n Dental Insurance Plans: Healthy Smiles Ahead | MetLife 0000038958 00000 n 0000044288 00000 n Select "Search" to go to the Find a Dentist tool, choose your network and enter your ZIP code for a list of participating dentists. The MetLife dental network includes thousands of providers, so finding the right dentist is easy. Our plans give you the flexibility to visit providers in or out-of-network. 3 Most cleanings and exams are covered 100%. Click home to navigate to home.. Click reset to reset the application.reset to reset the application. BG[uA;{JFj_.zjqu)Q Others have four tiers, three tiers or two tiers. 0000072473 00000 n hb```b`b`e`eb@ !f(GBC S1(500;1T5~`;4a> O@s'IW5yLrWqcrED]:b53l 2& CEg 120bpg7E'21Jn- (o-ee` y.4 H30-f1p' `[ HtTYo@~0IOHC )SI{ 0BO|cEs}Oq""TV}c`u-hSwi8J", Dental Insurance Center - MetLife The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. \Jc sVB;xN"#~D=1GE SJ4{[HM`|x>~y\YgO_YQ la70'1!!7FY%^P\iRk*#L n~^IJ54g+Rq k (C8y}H7=s2TiUfS^|d yfGBak44\@j G G!Qj)hLN';;i2Gt#&'' 0 0000044035 00000 n (Effective October 1, 2015 this guide was merged into the physician-related services/health care professional services billing guide. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Payments Information The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. 0000029561 00000 n For the Federal Dental Plans, the MetLife fee will prevail regardless of the primary carrier status. 1Birthday refers only to the month and day in a calendar year, not the year in which the person was born. 2 This rule is referred to as the birthday rule. P|!(}!h}qsPq!F#($FikLuJs?nSG^w;jp*B3&x!W x}k}l~'W)+~KZnsN1MVqy G8O,'"Gg Q WebMetLife has the largest range of dental insurance plans and providers among dental insurance organizations. Discover the best option: HMO, PPO and TakeAlong Dental 4828 0 obj <>stream interpreter services at no cost. hbbd```b``v> >d(XM|&c0L*e$li6"A@Lg` hT CPT only Copyright 2022 American Medical Association. Use the billing guides and fee schedules to find rate information and the ProviderOne Billing and Resource Guide to walk through the claims process. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 6p6@-_2PA p-S:{c:=q|%~nH09ML{Z 'zS'-'&w.&Xu-.@N This applies to services for: For more details, review your plan documents. You may still elect to receive services from a non ), If you choose a new PCD on the sixteenth day of the month or later, the change will go into effect two months afterward. How do I notify PEBB that my loved one has passed away? Compare dental plans | Washington State Health Care Authority Who can enroll in the plan? 779 0 obj <> endobj WebFind a Dentist. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Applicable FARS/DFARS apply. Metlife - Member Dental Plan Benefits - Member Benefits The member's benefit plan determines coverage. What types of services does the plan cover? The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. 0000037168 00000 n You can get a Summary of Benefits from your employer that provides your insurance. See Physician-related/professional services for information regarding vision exams and related services. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Please see your plan documents. HW$WtM7GmFx4;c}""ztl3*_}"_^_Vkj*[iBK+i?n~/_-la6l{^}m>lq><9n?[{*w^G{e7+Q1V\tm8Vxp7%^t9u(28~Z6v{uf{T% 59Wv_[\}#=a.E1hqYM"8dT1!`9~]hGuDKGgyQ\knr[{tEr:Ad^KbP\9RuCn,sSvjkP(G#OJt3ooQc 1(*@v WebJust select a participating dentist at enrollmentthen refer to your Schedule of Benefits to see what's covered and your costs. Actual Treating providers are solely responsible for dental advice and treatment of members. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Dental H=o0w7S4oA2dhQ,QITEF}v@DN/8LBl^K]H*f:J]yDyS{dZ>L80|8xa@c7iCSY_yLdZ~2}e$LJV\+8CG09s^@wg8pn@\O9C3b\ O1^7TR6:'o9vS rp:QM{9l-k[[@szQV[*P/0chT}($^X'F-Bw)t]V[atF5]@R,hYxk,7Ge^AF*Ul. Bzb:5Gl8%bYYFMG`L"J/rrkBlF)ltPBVW oz hb``d``c``e`kgg@ ~'a >/*g3,>Ib1h(ettt4@ ceY 0000017092 00000 n This search will use the five-tier subtype. %%EOF $10 to $50 to extract a tooth. L0621014064[exp0622][All States]. Or call Member Services for coverage details. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). Links to various non-Aetna sites are provided for your convenience only. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Ho0?4$#UVCr!bf! B[@U=7Y>6.vf 163 0 obj <> endobj You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. 0000050787 00000 n endstream endobj 4803 0 obj <>stream Employees can choose between an extensive network of dentists and oral care specialists so they find a provider best suited for their needs. As the leading provider of dental benefits and largest commercial carrier, MetLife is committed to helping your employees maximize their benefits. I want information specifically for 1-855-MET-EYE-1. However, in order to receive maximum benefits, members must select and have care coordinated by a participating primary care dentist. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Register and log in to your member website. The ABA Medical Necessity Guidedoes not constitute medical advice. For language services, please call the number on your member ID card and request an operator. These services include: We may not cover services youve received without coverage. Find a Dentist - providers.online.metlife.com Jump to the first list item for each letter: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z. Discontinued 3/31/2013. endstream endobj 4804 0 obj <>stream CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. For general Apple Health and behavioral health guidance, visit our Information about novel coronavirus (COVID-19) webpage. general dentist or specialist who meets MetLifes strict credentialing How are claims August 1, 2022 to present Neurodevelopmental centers billing guide, July 1, 2022 to July 31, 2022 Neurodevelopmental centers billing guide, July 1, 2021 to June 30, 2022 Neurodevelopmental centers billing guide, View all neurodevelopmental centers billing guides, July 1, 2022 to present Neurodevelopmental centers fee schedule, July 1, 2021 to June 30, 2022 Neurodevelopmental centers fee schedule, January 1, 2021 to June 30, 2021 Neurodevelopmental centers fee schedule, View all neurodevelopmental centers fee schedules, January 1, 2019 to March 31, 2019 Nondurable medical supplies and equipment billing guides, July 1, 2018 to December 31, 2018 Nondurable medical supplies and equipment billing guides, View all nondurable medical supplies and equipment billing guides, January 1, 2019 to March 31, 2019 Nondurable medical supplies and equipment fee schedule, April 1, 2023 to present Nursing facilities billing guide, January 1, 2023 to March 31, 2023 Nursing facilities billing guide, October 1, 2022 to December 31, 2022 Nursing facilities billing guide, View all nursing facilities billing guides, April 1, 2023 to present Orthodontic services billing guide, January 1, 2023 to March 31, 2023Orthodontic services billing guide, October 1, 2022 to December 31, 2022 Orthodontic services billing guide, View all orthodontic services billing guides, August 1, 2022 to present Outpatient hospital services billing guide, July 1, 2022 to July 31, 2022 Outpatient hospital services billing guide, April 1, 2022 to June 30, 2022 Outpatient hospital services billing guide, April 1, 2023 to present -- OPPS fee schedule, January 1, 2023 to March 31, 2023 OPPS fee schedule, October 1, 2022 to December 31, 2022 OPPS fee schedule, July 1, 2022 to September 30, 2022 OPPS fee schedule, April 1, 2022 to June 30, 2022 OPPS fee schedule, January 1, 2022 to March 31, 2022 OPPS fee schedule, October 1, 2021 to December 31, 2021 OPPS fee schedule, August 1, 2022 to present Outpatient rehabilitation billing guide, July 1, 2022 to July 31, 2022 Outpatient rehabilitation billing guide, January 1, 2022 to June 30, 2022 Outpatient rehabilitation billing guide, View all Outpatient Rehabilitation Program billing guides, July 1, 2022 to present Outpatient rehabilitation fee schedule, July 1, 2021 to June 30, 2022 Outpatient rehabilitation fee schedule, January 1, 2021 to June 30, 2021 Outpatient rehabilitation fee schedule, View all Outpatient Rehabilitation Program fee schedules, July 1, 2022 to present Pharmacy Special Services fee schedule, July 1, 2021 to June 30, 2022 Pharmacy Special Services fee schedule, July 1, 2020 to June 30, 2021 Pharmacy Special Services fee schedule, View all pharmacy special services fee schedules, May 1, 2023 to present - Physician-related services/health care billing guide, April 1, 2023 to April 31, 2023 Physician-related services/health care billing guide, January 1, 2023 to March 31, 2023 Physician-related services/health care billing guide, View all physician-related/professional services billing guides, April 1, 2023 to present Physician-related services fee schedule, January 1, 2023 to March 31, 2023 Physician-related services fee schedule, October 1, 2022 to December 31, 2022 Physician-related services fee schedule, View all physician-related/professional services fee schedules, January 1, 2023 to present Enhanced pediatric fee schedule, July 1, 2022 to December 31, 2022 Enhanced pediatric fee schedule, October 1, 2021 to June 30, 2022 Enhanced pediatric fee schedule, View all enhanced pediatric fee schedules, January 1, 2023 to present Enhanced adult primary care fee schedule, July 1, 2022 to December 31, 2022 Enhanced adult primary care fee schedule, October 1, 2021 to June 30, 2022 Enhanced adult primary care fee schedule, January 1, 2023 to present Opioid use disorder fee schedule, July 1, 2022 to December 31, 2022 Opioid use disorder fee schedule, July 1, 2021 to June 30, 2022 Opioid use disorder fee schedule, View all medication for opioid use disorder fee schedules, July 1, 2022 to present Conversion factors, July 1, 2021 to June 30, 2022 Conversion factors, July 1, 2020 to June 30, 2021 Conversion factors, Centers of Excellence: organ transplant facilities directory, April 1, 2023 to present Planned home births and births in centers billing guide, January 1, 2023 to March 31, 2023 Planned home births and births in centers billing guide, October 1, 2022 to December 31, 2022 Planned home births and births in centers billing guide, View all planned home births billing guides, January 1, 2023 to present Planned home births and births in centers fee schedule, July 1, 2022 to December 31, 2022 Planned home births and births in centers fee schedule, July 1, 2021 to June 30, 2022 Planned home births and births in centers fee schedule, View all planned home births fee schedules, July 1, 2022 to present Prenatal diagnosis genetic counseling fee schedule, July 2021 to June 30, 2022 Prenatal diagnosis genetic counseling fee schedule, July 1, 2020 to June 30, 2021 Prenatal diagnosis genetic counseling fee schedule, View all prenatal diagnosis genetic counseling fee schedules, January 1, 2023 to present Prescription drug program billing guide, April 1, 2022 to December 31, 2022 Prescription drug program billing guide, October 1, 2021 to March 31, 2022 Prescription drug program billing guide, January 1, 2023 to present Expedited authorization codes and criteria table, June 1, 2022 to December 31, 2022 Expedited authorization codes and criteria table, December 1, 2021 to May 31, 2022 Expedited authorization codes and criteria table, February 21, 2023 to present Private duty nursing for children billing guide, July 1, 2022 to February 20, 2023 Private duty nursing for children billing guide, October 1, 2020 to June 30, 2022 Private duty nursing for children billing guide, View all private duty nursing for children billing guides, January 1, 2023 to present Private duty nursing fee schedule, January 1, 2020 to December 31, 2022 Private duty nursing fee schedule, July 1, 2016 to December 31, 2019 Private duty nursing fee schedule, April 1, 2023 to present Professional administered drug fee schedule, January 1, 2023 to March 31, 2023 Professional administered drug fee schedule, October 1, 2022 to December 31, 2022 Professional administered drug fee schedule, View all professional administered drugs fee schedules, July 1, 2022 to present Prosthetic and orthotic devices billing guide, April 1, 2022 to June 30, 2022 Prosthetic and orthotic devices billing guide, October 1, 2021 to March 31, 2022 Prosthetic and orthotic devices billing guide, View all prosthetic and orthotics billing guides, July 1, 2022 to present Prosthetic and orthotics fee schedule, October 1, 2021 to June 30, 2022 Prosthetic and orthotics fee schedule, July 1, 2021 to September 30, 2021 Prosthetic and orthotics fee schedule, View all prosthetic and orthotics fee schedules, August 1, 2022 to present Respiratory care billing guide, July 1, 2022 to July 31, 2022 Respiratory care billing guide, October 1, 2021 to June 30, 2022 Respiratory care billing guide, July 1, 2022 to present Respiratory care fee schedule, October 1, 2021 to June 30, 2022 Respiratory care fee schedule, July 1, 2021 to September 30, 2021 Respiratory care fee schedule, April 1, 2023 to present Rural heath clinics billing guide, January 1, 2023 to March 31, 2023 Rural health clinics billing guide, October 1, 2022 to December 31, 2022 Rural health clinics billing guide, April 1, 2023 to present RHC encounter rates, January 1, 2023 to March 31, 2023 RHC encounter rates, October 1, 2022 to December 31, 2022 RHC encounter rates, April 1, 2023 to present RHC enhancement rates, January 1, 2023 to March 31, 2023 RHC enhancement rates, October 1, 2022 to December 31, 2022 RHC enhancement rates, October1, 2022 to present SBHS billing guide, July 1, 2022 to September 30, 2022 SBHS billing guide, October 1, 2021 to June 30, 2022 SBHS billing guide, July 1, 2022 to present SBHS fee schedule, October 1, 2021 to June 30, 2022 SBHS fee schedule, July 1, 2021 to September 30, 2021 SBHS fee schedule, January 1, 2023 to present Sleep centers billing guide, July 1, 2022 to December 31, 2022 Sleep centers billing guide, October 1, 2020 to June 30, 2022 Sleep centers billing guide, April 1, 2023 to present Sleep centers fee schedule, January 1, 2023 to March 31, 2023 Sleep centers fee schedule, July 1, 2022 to December 31, 2022 Sleep centers fee schedule, January 1, 2023 to Present Sterilization billing guide, October 1, 2022 to December 31, 2022 Sterilization billing guide, July 1, 2022 to September 30, 2022 Sterilization supplemental billing guide, Physician-related/Professional Services Billing Guide, Sterilization Consent Form (HHS-687) (English), Sterilization Consent Form (HHS-687) English large print, Sterilization Consent Form (HHS-687-1) (Spanish), Sterilization Consent Form (HHS-687-1) Spanish large print, 1, 2023to present Substance use disorder billing guide, January 1, 2023to March 31, 2023 Substance use disorder billing guide, October 1, 2022 to December 31, 2022 Substance use disorder billing guide, View all SUD (FFS outside BHO process) billing guides, July 1, 2022 to present Substance use disorder fee schedule, October 1, 2021 to June 30, 2022 Substance use disorder fee schedule, January 1, 2021 to September 30, 2021 Substance use disorder fee schedule, View all substance use disorder fee schedules, January 1, 2023 to present Substance-Using Pregnant People (SUPP) Program billing guide, February 26, 2023 to present Telemedicine billing guide, January 1.
