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22862 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 22 state Medicaid programs publish a fee-for-service rate for 22862 at the physician psychologist level. Rates run from $9.30 in New Jersey to $3,469.71 in New Mexico, with a median of $1,563.85.

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

States publishing
22
Median rate
$1,563.85units vary by state
Highest
$3,469.71New Mexico
Medicare (non-facility)
—not on the physician fee schedule

22862 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
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$3,469.71since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$2,788.76since 2026-09-24——Not classified—Teaching Facility Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$2,667.60since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArizonaPhysician or licensed psychologist (incl. BCBA-D) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$2,380.37since 2025-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$2,250.32since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$2,220.10since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,971.06since 2022-06-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$1,916.66since 2026-01-01——Not classified—Maryland Medicaid Professional Services
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1,907.10since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1,706.85since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$1,641.03since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,486.67since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1,446.27since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,325.39since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$1,305.36since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$993.30since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$866.82since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$422.88since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$277.01since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$276.18since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$228.59since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$9.30since 2014-07-01base unit—Not classified—NJMMIS Procedure Master Listing CPTCodes

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 22862?

It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $1,563.85. New Mexico pays the most ($3,469.71) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 22862?

New Mexico, at $3,469.71, effective 2025-01-01.

Do managed-care plans pay the same rate for 22862?

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

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