Surcharge Rates

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Emergency Rule 6 COVID-19
Effective Date	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates
09/02/2025	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates
09/02/2024	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates
09/02/2023	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates

2022-2024

Click Here to view a list of Provider Specialty Codes/Class.
Emergency Rule 6 COVID-19
Effective Date	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates
09/02/2024	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates
09/02/2023	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates
09/02/2022	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates

2019-2021

Emergency Rule 6 COVID-19
Effective Date	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates
09/02/2021	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates
09/02/2020	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates
09/02/2019	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates

2016-2018

09/02/2018	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates	Urgent Care Visit Rates
09/02/2017	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates
09/02/2016	Cover Letter	Manual	Surcharge Rates	Tail Rates	ER Visit Rates

2011-2015

09/02/2015	Cover Letter: Rates Effective 09/02/2015	Manual: Rates Effective 09/02/2015	Surcharge Rates Effective: 09/02/2015	Tail Rates Effective: 09/02/2015	ER Visit Rates Effective: 09/02/2015
09/02/2014	Cover Letter: Rates Effective 09/02/2014	Manual: Rates Effective 09/02/2014	Surcharge Rates Effective: 09/02/2014	Tail Rates Effective: 09/02/2014	ER Visit Rates Effective: 09/02/2014
09/02/2013	Cover Letter: Rates Effective 09/02/2013	Manual: Rates Effective 09/02/2013	Surcharge Rates Effective: 09/02/2013	Tail Rates Effective: 09/02/2013	ER Visit Rates Effective: 09/02/2013
09/02/2012	Cover Letter: Rates Effective 09/02/2012	Manual: Rates Effective 09/02/2012	Surcharge Rates Effective: 09/02/2012	Tail Rates Effective: 09/02/2012	ER Visit Rates Effective: 09/02/2012
09/02/2011	Cover Letter: Rates Effective 09/02/2011	Manual: Rates Effective 09/02/2011	Surcharge Rates Effective: 09/02/2011	Tail Rates Effective: 09/02/2011	ER Visit Rates Effective: 09/02/2011

2006-2010

09/02/2010		Manual: Rates Effective 09/02/2010	Surcharge Rates Effective: 09/02/2010	Tail Rates Effective: 09/02/2010	ER Visit Rates Effective: 09/02/2010
01/01/2010	Cover Letter: Rates Effective 01/01/2010	Manual: Rates Effective 01/01/2010	Surcharge Rates Effective: 01/01/2010	Tail Rates Effective: 01/01/2010
01/01/2009	Cover Letter: Rates Effective 01/01/2009	Manual: Rates Effective 01/01/2009	Surcharge Rates Effective: 01/01/2009	Tail Rates Effective: 01/01/2009
01/01/2008	Cover Letter: Rates Effective 01/01/2008	Manual: Rates Effective 01/01/2008	Surcharge Rates Effective: 01/01/2008	Tail Rates Effective: 01/01/2008
01/01/2007	Cover Letter: Rates Effective 01/01/2007	Manual: Rates Effective 01/01/2007	Surcharge Rates Effective: 01/01/2007	Tail Rates Effective: 01/01/2007
01/01/2006	Cover Letter: Rates Effective 01/01/2006	Manual: Rates Effective 01/01/2006	Surcharge Rates Effective: 01/01/2006	Tail Rates Effective: 01/01/2006

2001-2005

01/01/2005	Cover Letter: Rates Effective 01/01/2005	Manual: Rates Effective 01/05/2005	Surcharge Rates Effective: 01/01/2005	Tail Rates Effective: 01/01/2005
01/01/2004	Cover Letter: Rates Effective 01/01/2004	Manual: Rates Effective: 01/01/2004	Surcharge Rates Effective: 01/01/2004	Tail Rates Effective: 01/01/2004
01/01/2003		Manual: Rates Effective 01/01/2003	Surcharge Rates Effective 01/01/2003	Tail Rates Effective: 01/01/2003
01/01/2002		Manual: Rates Effective 01/01/2002	Surcharge Rates Effective: 01/01/2002	Tail Rates Effective: 01/01/2002
01/01/2001		Manual: Rates Effective 01/01/2001	Surcharge Rates Effective: 01/01/2001	Tail Rates Effective: 01/01/2001