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90989 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 28 state Medicaid programs publish a fee-for-service rate for 90989 at the physician psychologist level. Rates run from $15.00 in Kansas to $667.40 in California, with a median of $399.69.

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

States publishing
28
Median rate
$399.69units vary by state
Highest
$667.40California
Medicare (non-facility)
—not on the physician fee schedule

90989 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
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$667.40since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$548.54since 2008-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$532.00since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$528.43since 2018-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$515.11since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$500.00since 2022-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$497.52since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$492.56since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$470.25since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$467.53since 2020-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$437.43since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Chronic Disease Program (adult cystic fibrosis, hemophilia home care, chronic renal disease; state-funded)$406.75since 2006-10-01——Not classified—ForwardHealth max fee schedule: Renal Di
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$401.94since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$400.00since 2014-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$399.38since 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)$394.96since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$368.00since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$349.92since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$345.56since 2011-04-08——Not classified—SCDHHS Pediatric Subspecialty and Neonat
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$332.43since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$322.43since 2008-01-01——Not classified—CMAP fee schedule: Physician Office and
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$284.03since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$265.00since 1991-04-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$246.35since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$211.57since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$175.36since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$20.00since 2026-07-17——Plans negotiate; applies out of network—Rates for Dialysis Treatments and Home D
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$15.00since 1978-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN 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 90989?

It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $399.69. California pays the most ($667.40) and Kansas the least ($15.00).

Which state pays the highest Medicaid rate for 90989?

California, at $667.40, effective 2026-10-01.

Do managed-care plans pay the same rate for 90989?

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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