00916 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 18 state Medicaid programs publish a fee-for-service rate for 00916 at the physician psychologist level. Rates run from $1.15 in Maryland to $82.32 in Florida, with a median of $5.00.

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

States publishing: 18
Median rate: $5.00units vary by state
Highest: $82.32Florida
Medicare (non-facility): —not on the physician fee schedule

00916 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.

State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare	Source
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$82.32since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Practitioner Fee Schedule (2026-01-01)
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$74.65since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$63.33since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$45.45since 2025-07-01	—	—	Plans must pay at least this	—	MO HealthNet fee schedule: Anesthesia
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$32.12since 2020-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$16.98since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus FY 2026-2027 Fee
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$10.99since 2024-07-01	—	—	Plans negotiate; applies out of network	—	SCDHHS Anesthesia Fee Schedule (schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$10.84since 2008-07-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$5.00since 2017-01-01	base unit	—	Plans negotiate; applies out of network	—	Policies and Procedures for Schedule Max
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$5.00since 2021-01-01	Base	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$5.00since 2003-10-16	base unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
TexasRegistered nurse (RN) · Texas Medicaid (fee-for-service, TMHP)	$5.00since 2017-11-01	base unit	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Certi
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)	$5.00since 2023-01-01	Anesthesia Based Units (ABU)	—	Plans negotiate; applies out of network	—	MDHHS Anesthesia Fee Schedule, January 2
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$5.00since 2023-01-01	base unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Anesthesia Fee Schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$5.00since 1989-04-01	base unit	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$5.00since 1987-10-01	base units	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical1.csv
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$5.00since 2020-01-01	base unit	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$1.15since 2026-01-01	minute	—	Not classified	—	Maryland Medicaid Professional Services

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 00916?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $5.00. Florida pays the most ($82.32) and Maryland the least ($1.15 per minute).

Which state pays the highest Medicaid rate for 00916?

Florida, at $82.32, effective 2026-01-01.

Do managed-care plans pay the same rate for 00916?

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.

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