ATTACHMENT 4 MEDICAID PRICING SCHEDULE.PDF
Published: 06/13/2024
Description
Level of Care-LOC C-M WT Direct Care Non-Direct Medicaid VA Contract Daily Drug Costs SE3 SE2 SE1 RAD RAC RAB RAA SSC SSB SSA CC2 CC1 CB2 CB1 CA2 CA1 IB2 IB1 IA2 IA1 BB2 BB1 BA2 BA1 PE2 PE1 PD2 PD1 PC2 PC1 PB2 PB1 PA2 PA1 South Dakota Medi...
