dhss logo

dmap title

skip the navigation menu and view the content of this page or select ALT-C to access

home buttoninformation buttondownload buttonlink buttoninteractive services button


Back to Manuals page
 
 
 
Manual Archives
DMMA Published Fee Schedule
 
 
 
 
 
 
 

Manual Archives

Name Description
Inpatient Policy Provider Specific DMAP policy related to services in an inpatient hospital setting
CMS-1500 Billing Instructions for completing the CMS-1500 claim form
UB-92 Billing Instructions for completing the UB-92 claim form
Pharmacy Billing Instructions for completing the NCPDP Pharmacy claim form
Dental Billing Instructions for completing the ADA Dental claim form
Non-Emergency Transportation Policy Provider Specific DMAP policy related to transportation defined as non-emergency
Community Support Services- Mental Health DMAP policy related to mental health community support services
Community Support Services- Substance Abuse DMAP policy related to substance abuse community support services

These documents require Adobe® Acrobat® ReaderTM. Select this link to download the latest version .
For a text only Adobe®Acrobat® ReaderTM. Select this link to download the alternate version.