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0020M Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 7 state Medicaid programs publish a fee-for-service rate for 0020M at the physician psychologist level. Rates run from $68.66 in Florida to $2,500.00 in Montana, with a median of $2,250.00.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
7
Median rate
$2,250.00units vary by state
Highest
$2,500.00Montana
Medicare (non-facility)
—not on the physician fee schedule

0020M rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$2,500.00since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$2,500.00since 2026-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$2,500.00since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$2,250.00since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$2,250.00since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1,250.00since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$68.66since 2026-01-01——Plans negotiate; applies out of network—Practitioner Laboratory Fee Schedule (20

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 0020M?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $2,250.00. Montana pays the most ($2,500.00) and Florida the least ($68.66).

Which state pays the highest Medicaid rate for 0020M?

Montana, at $2,500.00, effective 2026-01-01.

Do managed-care plans pay the same rate for 0020M?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related Physician & professional codes

Track 0020M in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state