Quarterly Physician Drug Code and Rate Update: QTR 2, CR 131894
In alignment with the Centers for Medicare & Medicaid Services’ (CMS) quarterly rate update, effective April 1, 2025, we retroactively updated the Physician Drug Rates. We implemented the new rates for billing on May 14, 2025.
You can find the updated rates on the Rate Setting webpage of the Health PAS Online Portal.
Adjustment of Claims
We will reprocess claims that you submitted at or above the new rates, for dates of service April 1, 2025, through May 14, 2025. No provider action is needed.
For questions, please contact your Provider Relations Specialist.