Revised Rates: Sections 68, 85 and 109, CRs 129558, 129513, 129352
We implemented new rates for Sections 68, 85 and 109 retroactively to January 1, 2025.
You may view the updated fee schedules on the
Adjusting Claims
We will reprocess claims that were billed at, or above, the new rates for dates of service January 1, 2025, through the implementation dates identified in the table below. No provider action is needed.  Ìý
|
Section |
Section Description |
Implement Date |
|
68 |
Occupational Therapy ServicesÌý |
2/5/2025 |
|
85 |
Physical Therapy Services |
2/5/2025 |
|
109 |
Speech and Hearing Services |
2/19/2025 |
Ìý
If you submitted claims with charges below the new rates, please adjust your claims within 120 days of this notice.ÌýÌý
For questions, please contact your Provider Relations Specialist. Ìý