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90901 Medicaid reimbursement rates by state

Other therapy services. 16 state Medicaid programs publish a fee-for-service rate for 90901 at the physician psychologist level. Rates run from $8.25 in Kansas to $105.32 in New Mexico, with a median of $30.22.

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

States publishing
16
Median rate
$30.22units vary by state
Highest
$105.32New Mexico
Medicare (non-facility)
$38.05–$46.862026 physician fee schedule

90901 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 Medically Fragile 1915(c) Waiver (NM.0223)$105.32since 2026-07-01visit—Paid by the state, outside plans271%Medically Fragile Waiver Fee Schedule (E
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$57.75since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$35.32since 2017-01-01——Plans must pay at least this—Provider Type 26 Psychologist Reimbursem
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$33.48since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$33.32since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$33.24since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$32.13since 2022-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Therapy-
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$31.90since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$28.53since 2026-01-01——Not classified—Maryland Medicaid Professional Services
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$24.26since 2026-01-01——Plans negotiate; applies out of network—KY Medicaid ST fee schedule (2026SpeechT
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$23.83since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$17.35since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$16.00since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$14.86since 1997-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$13.99since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$8.25since 2009-12-18——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 90901?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $30.22. New Mexico pays the most ($105.32 per visit) and Kansas the least ($8.25).

Which state pays the highest Medicaid rate for 90901?

New Mexico, at $105.32 per visit, effective 2026-07-01.

How do Medicaid rates for 90901 compare with Medicare?

Where the billing units match, Medicaid pays between 271% and 271% of the 2026 Medicare physician fee schedule amount for the state (non-facility).

Do managed-care plans pay the same rate for 90901?

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 Therapy (PT/OT/speech) codes

Track 90901 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state