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61642 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 14 state Medicaid programs publish a fee-for-service rate for 61642 at the physician psychologist level. Rates run from $0.00 in Arkansas to $738.27 in Kansas, with a median of $317.60.

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

States publishing
14
Median rate
$317.60units vary by state
Highest
$738.27Kansas
Medicare (non-facility)
—not on the physician fee schedule

61642 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
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$738.27since 2006-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$482.08since 2018-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$457.85since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$370.50since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$357.49since 2008-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$354.58since 2020-01-01——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)$335.69since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$299.50since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$284.72since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$261.50since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$235.63since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$227.17since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$187.09since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam

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 61642?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $317.60. Kansas pays the most ($738.27) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 61642?

Kansas, at $738.27, effective 2006-01-01.

Do managed-care plans pay the same rate for 61642?

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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