90999 Medicaid reimbursement rates by state
Dialysis facility composite rate (per treatment). 9 state Medicaid programs publish a fee-for-service rate for 90999 at the physician psychologist level. Rates run from $0.00 in Arkansas to $284.72 in Nevada, with a median of $127.20.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 9
- Median rate
- $127.20units vary by state
- Highest
- $284.72Nevada
- Medicare (non-facility)
- —not on the physician fee schedule
90999 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $284.72since 2026-01-01 | — | — | Plans must pay at least this | — | Provider Type 45 and 81 End Stage Renal |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $231.62since 2026-01-01 | Per Session | — | Plans negotiate; applies out of network | — | HCA Kidney centers fee schedule (kidneyc |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $204.94since 2026-07-17 | — | — | Plans negotiate; applies out of network | — | Rates for Dialysis Treatments and Home D |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $139.25since 2008-07-01 | — | — | Not classified | — | CMAP fee schedule: Clinic - Dialysis 4/1 |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $127.20since 2025-10-01 | — | — | Not classified | — | Alabama Medicaid Fee Schedule, Renal Dia |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $123.03since 2019-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Practitioner |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $87.66since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $70.87since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Practitioner Fee Schedule (2026-01-01) |
| ArkansasPhysician or licensed psychologist (incl. BCBA-D) · 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 90999?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $127.20. Nevada pays the most ($284.72) and Arkansas the least ($0.00).
Which state pays the highest Medicaid rate for 90999?
Nevada, at $284.72, effective 2026-01-01.
Do managed-care plans pay the same rate for 90999?
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.