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90378 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 21 state Medicaid programs publish a fee-for-service rate for 90378 at the physician psychologist level. Rates run from $10.00 in Pennsylvania to $3,599.81 in Maryland, with a median of $1,618.62.

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

States publishing
21
Median rate
$1,618.62units vary by state
Highest
$3,599.81Maryland
Medicare (non-facility)
—not on the physician fee schedule

90378 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
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$3,599.81since 2026-01-01——Not classified—Maryland Medicaid Professional Services
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1,929.90since 2024-08-01——Plans negotiate; applies out of network—MDHHS Child and Adolescent Health Center
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,843.96since 2024-03-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$1,820.66since 2023-07-01——Plans negotiate; applies out of network—Copy of PADL- Appendix A - Published Cop
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1,802.45since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$1,769.81since 2023-07-01——Not classified—Q1/Q2/Q3/Q4 2023 PAD Fee Schedule
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$1,757.32since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$1,718.96since 2023-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1,691.46since 2024-04-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,688.25since 2024-01-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$1,618.62since 2023-01-01——Not classified—SCDHHS Infusion Center Fee Schedule (sch
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,500.00since 2011-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1,416.80since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,386.77since 2025-10-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,359.81since 2013-09-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$1,310.31since 2021-01-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$1,180.19since 2011-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$772.61since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$436.75since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$327.21since 2024-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2024
PennsylvaniaRegistered nurse (RN) · Pennsylvania Medical Assistance (fee-for-service)$10.00since 2000-01-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (

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 90378?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $1,618.62. Maryland pays the most ($3,599.81) and Pennsylvania the least ($10.00).

Which state pays the highest Medicaid rate for 90378?

Maryland, at $3,599.81, effective 2026-01-01.

Do managed-care plans pay the same rate for 90378?

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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