Fiscal/Billing Resources
MHOTRS Reimbursement Rates
CPT Procedure Weight and Rate Schedule (REVISED 12/07/2022)
This schedule gives the base weight, peer group base rates, an updated list of APG/CPT services, definitions, and weights. It includes payment amounts for the CPT coded services based on current peer group rates and procedure weights.
CPT Revenue Calculator
Illustrated Blank (REVISED 10/24/2022)
This tool enables users to calculate the projected revenue for CPT procedures based on current service weights and peer group base rates.
Sample Form UB-04 – MCTAC Billing Tool
Billing Guidance for Tobacco Use Disorder in MHOTRS Settings
Guidance Memo on Opioid Use Disorder Billing
Developmental and Psychological Billing Guidance
Medicaid Managed Care (MMC) APG “Government” Rates
2016 APG Updates/Policy Changes
Claim Submission - Attending and Referring Line
Guidance on acceptable billing practices with respect to the Attending and Referring fields of a claim.
Comments or questions about the information on this page can be directed to the Bureau of Financial Planning or the Division of Managed Care.