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Changes – Payment Methodology

Encounter-based claiming methodology

Each service encounter must be documented for reimbursement (Session Notes)

Current Procedural Terminology (CPT) Codes

Fees for services were benchmarked at 75% of the 2010 Medicare fee schedule for the Mid Hudson Region

Transportation continues to be billed using a cost-based methodology (one-way rates)

Medicaid State Plan Amendment (09-61)

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