97033 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 31 state Medicaid programs publish a fee-for-service rate for 97033 at the therapy assistant level. Rates run from $6.71 in Kentucky to $28.23 in Texas, with a median of $15.46.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 31
- Median rate
- $15.46units vary by state
- Highest
- $28.23Texas
- Medicare (non-facility)
- $17.56–$24.272026 physician fee schedule
97033 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) | $28.23since 2019-09-01 | 15 min | $112.92 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $27.78since 2020-03-01 | 15 min | $111.12 | Paid by the state, outside plans | — | Provider Type 60 School Based (rate data |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $27.42since 2026-07-01 | 15 min | $109.68 | Plans negotiate; applies out of network | 152% | Nebraska Medicaid fee schedule 471-000-5 |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $27.17since 2025-01-01 | 15 min | $108.68 | Plans must pay at least this | 149% | New Mexico Medicaid Fee for Service CPT |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $19.46since 2026-01-01 | 15 min | $77.84 | Not classified | 97% | CMAP fee schedule: Independent Physical |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $19.44since 2026-07-01 | 15 min | $77.76 | Paid by the state, outside plans | 107% | NC Medicaid fee schedule 'Local Educatio |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $18.61since 2026-01-01 | 15 min | $74.44 | Not classified | 93–97% | Maryland Medicaid Professional Services |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $17.89since 2024-08-01 | 15 min | $71.56 | Paid by the state, outside plans | 100% | KMAP Fee Schedule MKN Medicaid (FeeSched |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $17.88since 2025-10-01 | 15 min | $71.52 | Plans negotiate; applies out of network | 96% | AHCCCS Arizona Health Care Cost Containm |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $17.81since 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) | $17.52since 2026-01-01 | 15 min | $70.08 | Plans must pay at least this | 95–98% | Louisiana Medicaid Enhanced Professional |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $16.49since 2025-07-01 | 15 min | $65.96 | Plans negotiate; applies out of network | 88% | DMAS procedure fee file cptmedical4.csv |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $16.08since 2026-07-01 | 15 min | $64.32 | Plans negotiate; applies out of network | 82% | Child Health Plan Plus FY 2026-2027 Fee |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $15.80since 2026-07-01 | 15 min | $63.20 | Plans must pay at least this | 90% | DOM Comprehensive Fee Schedule, Septembe |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $15.60since 2026-07-01 | 15 min | $62.40 | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $15.46since 2008-07-01 | 15 min | $61.84 | Plans negotiate; applies out of network | 84% | ForwardHealth max fee schedule: Therapy- |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $15.37since 2026-02-01 | 15 min | $61.48 | Plans negotiate; applies out of network | 76–81% | OHP FFS medical-dental fee schedule (fee |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $15.01since 2025-06-06 | 15 min | $60.04 | Plans negotiate; applies out of network | 70–76% | Rates for Restorative Services (effectiv |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $14.84since 2022-07-01 | 15 min | $59.36 | Plans must pay at least this | 80–84% | MO HealthNet fee schedule: Podiatry |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $14.66since 2026-02-01 | 15 min | $58.64 | Plans negotiate; applies out of network | 77% | MHCP Fee Schedule - Current Fee Schedule |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $13.68since 2013-07-01 | 15 min | $54.72 | Plans must pay at least this | 76% | Iowa Medicaid fee schedule #50 NURSE PRA |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $13.26since 1995-01-02 | 15 min | $53.04 | Plans negotiate; applies out of network | 67–73% | PA DHS PROMISe Outpatient Fee Schedule ( |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $13.11since 2026-01-01 | 15 min | $52.44 | Not classified | 70–72% | MaineCare Fee Schedule (MaineCare UCR, H |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $12.41since 2024-04-01 | 15 min | $49.64 | Plans negotiate; applies out of network | 63–68% | HFS Practitioner Fee Schedule (effective |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $12.24since 2026-07-01 | 15 min | $48.96 | Not classified | 64% | Montana Healthcare Programs fee schedule |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $12.14since 2026-01-01 | 15 min | $48.56 | Plans negotiate; applies out of network | 64–67% | MDHHS Occupational Therapy Fee Schedule |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $11.66since 2026-07-01 | 15 min | $46.64 | Plans negotiate; applies out of network | 54–59% | HCA Habilitative services fee schedule ( |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $11.61since 2017-01-01 | 15 min | $46.44 | Plans negotiate; applies out of network | 60–64% | OutPatient Max Allowed Site of Service F |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $10.95since 2025-01-01 | 15 min | $43.80 | Not classified | 52–54% | NJMMIS Procedure Master Listing CPTHCPCS |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $9.18since 2026-10-01 | 15 min | $36.72 | Plans negotiate; applies out of network | 38–46% | Medi-Cal Rates (Rates files zip: rates_d |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $6.71since 2026-01-01 | 15 min | $26.84 | Plans negotiate; applies out of network | 37% | 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 97033?
It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $15.46. Texas pays the most ($28.23 per 15 min) and Kentucky the least ($6.71 per 15 min).
Which state pays the highest Medicaid rate for 97033?
Texas, at $28.23 per 15 min ($112.92 per hour), effective 2019-09-01.
How do Medicaid rates for 97033 compare with Medicare?
Where the billing units match, Medicaid pays between 37% and 152% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 97033?
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 97033 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.