The following documents are available for this provider type. See also All Providers.

Provider Manual

• Section I – General Medicaid Policy
  • Section I
  • Section I Update Log
  • Other Policy-Related Notifications for All Provider Types
• Section II – Program Policy
  • Section II
  • Section II Update Log
  • Other Policy-Related Notifications for this Provider Type
• Section III – Billing Information
  • Section III
  • Section III Update Log
• Section IV – Glossary
  • Section IV
  • Section IV Update Log
• Section V – Forms and Contacts
  • Section V
  • Section V Update Log

To see the full history of Notices of Rulemaking and Official Notices for this provider type, please download from the manual “Other Policy-Related Notifications for this Provider Type” using the link above. Additional Notices issued for all provider types can be found using the “Other Policy-Related Notifications for All Provider Types” link above.

RA Messages

Date	Subject
7/30/26-8/13/26	CLIA Waived Codes with MOD QW
4/9/26-4/23/26	PA Required for 81415, 81416, and 81417
11/27/25-12/11/25	LYRIC MULTICODE REBUN Backout for Lab Procedures 87800 and 87801
9/4/25-9/18/25	Professional Crossover Claims Duplicated in Error Will Be Recouped

Fee Schedules

Procedure Code Tables

Recent Official Notices