Medicaid Fee Schedule 2024 Kyc Form. This page contains billing guides, fee schedules, and additional billing materials to help providers find the codes they need to submit prior authorization (pa) for services and. • the appearance on this website of a code and rate is not an indication of coverage, nor a.

• please refer to the orthodontic section of this fee schedule for procedures and pricing • the appearance of a code and rate on this fee schedule is not a guarantee of payment. Any procedure code reflecting a medicaid maximum of $0.00 is manually priced.