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91112 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 28 state Medicaid programs publish a fee-for-service rate for 91112 at the physician psychologist level. Rates run from $69.63 in New York to $2,328.25 in Montana, with a median of $1,001.74.

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

States publishing
28
Median rate
$1,001.74units vary by state
Highest
$2,328.25Montana
Medicare (non-facility)
$1,526.57–$2,522.602026 physician fee schedule

91112 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
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$2,328.25since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$2,014.73since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,434.90since 2026-07-01——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)$1,316.34since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1,284.47since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1,240.77since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$1,234.65since 2022-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$1,202.72since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$1,103.12since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$1,081.07since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1,056.27since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$1,051.88since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$1,041.96since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,016.61since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$986.86since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$963.70since 2026-01-01——Not classified—Maryland Medicaid Professional Services
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$957.32since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$923.67since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$920.66since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$901.85since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$897.34since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$870.86since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$777.74since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$767.06since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$644.30since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$87.01since 2024-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$84.60since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$69.63since 2025-04-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me

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 91112?

It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $1,001.74. Montana pays the most ($2,328.25) and New York the least ($69.63 per unit).

Which state pays the highest Medicaid rate for 91112?

Montana, at $2,328.25, effective 2026-07-01.

Do managed-care plans pay the same rate for 91112?

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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Medicaid rates by state
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