97032 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 24 state Medicaid programs publish a fee-for-service rate for 97032 at the therapy assistant level. Rates run from $5.25 in Kentucky to $29.66 in Texas, with a median of $12.70.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 24
- Median rate
- $12.70units vary by state
- Highest
- $29.66Texas
- Medicare (non-facility)
- $13.86–$18.122026 physician fee schedule
97032 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 |
|---|---|---|---|---|---|---|
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $29.66since 2019-09-01 | 15 min | $118.64 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $24.67since 2026-07-01 | 15 min | $98.68 | Plans negotiate; applies out of network | 176% | Nebraska Medicaid fee schedule 471-000-5 |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $15.46since 2022-01-01 | 15 min | $61.84 | Plans negotiate; applies out of network | 109% | ForwardHealth max fee schedule: Therapy- |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $15.35since 2026-01-01 | 15 min | $61.40 | Not classified | 100–104% | Maryland Medicaid Professional Services |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $14.50since 2017-01-01 | 15 min | $58.00 | Plans negotiate; applies out of network | 97–103% | 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) | $13.71since 2026-10-01 | 15 min | $54.84 | Plans negotiate; applies out of network | 95% | AHCCCS Arizona Health Care Cost Containm |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $13.61since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $13.41since 2026-01-01 | 15 min | $53.64 | Plans must pay at least this | 93–96% | Louisiana Medicaid Enhanced Professional |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $13.10since 2013-07-01 | 15 min | $52.40 | Plans must pay at least this | 94% | Iowa Medicaid fee schedule #50 NURSE PRA |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $13.07since 2025-10-01 | 15 min | $52.28 | Plans must pay at least this | 92% | NC Medicaid fee schedule 'Nurse Practiti |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $13.02since 2026-01-01 | 15 min | $52.08 | Not classified | 85% | CMAP fee schedule: Independent Physical |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $12.73since 2026-07-01 | 15 min | $50.92 | Plans negotiate; applies out of network | 88% | DMAS procedure fee file cptmedical4.csv |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $12.66since 1995-01-02 | 15 min | $50.64 | Plans negotiate; applies out of network | 84–89% | PA DHS PROMISe Outpatient Fee Schedule ( |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $12.29since 2024-01-01 | 15 min | $49.16 | Plans negotiate; applies out of network | 87% | Appendix DD to OAC 5160-1-60 (Non-Instit |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $12.12since 2026-07-01 | 15 min | $48.48 | Plans negotiate; applies out of network | 80% | Child Health Plan Plus FY 2026-2027 Fee |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $11.06since 2026-02-01 | 15 min | $44.24 | Plans negotiate; applies out of network | 76% | MHCP Fee Schedule - Current Fee Schedule |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $11.03since 2022-07-01 | 15 min | $44.12 | Plans must pay at least this | 77–80% | MO HealthNet fee schedule: Podiatry |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $10.87since 2026-10-01 | 15 min | $43.48 | Plans negotiate; applies out of network | 67–72% | Emergency Adoption (date filed: Septembe |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $9.37since 2025-01-01 | 15 min | $37.48 | Plans negotiate; applies out of network | 64–66% | MDHHS Occupational Therapy Fee Schedule |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $9.34since 2024-04-01 | 15 min | $37.36 | Plans negotiate; applies out of network | 61–65% | HFS Practitioner Fee Schedule (effective |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $8.79since 2026-07-01 | 15 min | $35.16 | Plans negotiate; applies out of network | 54–58% | HCA Habilitative services fee schedule ( |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $8.66since 2026-10-01 | 15 min | $34.64 | Plans negotiate; applies out of network | 48–57% | Medi-Cal Rates (Rates files zip: rates_d |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $8.01since 2025-01-01 | 15 min | $32.04 | Not classified | 49–51% | NJMMIS Procedure Master Listing CPTHCPCS |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $5.25since 2026-01-01 | 15 min | $21.00 | Plans negotiate; applies out of network | 38% | KY Medicaid OT fee schedule (2026Occupat |
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 97032?
It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $12.70. Texas pays the most ($29.66 per 15 min) and Kentucky the least ($5.25 per 15 min).
Which state pays the highest Medicaid rate for 97032?
Texas, at $29.66 per 15 min ($118.64 per hour), effective 2019-09-01.
How do Medicaid rates for 97032 compare with Medicare?
Where the billing units match, Medicaid pays between 38% and 176% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 97032?
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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Track 97032 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.