97129 Medicaid reimbursement rates by state
Cognitive skills therapy, first unit. 23 state Medicaid programs publish a fee-for-service rate for 97129 at the physician psychologist level. Rates run from $6.96 in Louisiana to $30.81 in Nebraska, with a median of $18.35.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 23
- Median rate
- $18.35units vary by state
- Highest
- $30.81Nebraska
- Medicare (non-facility)
- $21.63–$26.422026 physician fee schedule
97129 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 |
|---|---|---|---|---|---|---|
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $30.81since 2026-07-01 | 15 min | $123.24 | Plans negotiate; applies out of network | 142% | 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) | $25.99since 2020-01-01 | 15 min | $103.96 | Plans must pay at least this | 120% | Iowa Medicaid fee schedule #02 PHYSICIAN |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $20.89since 2026-10-01 | 15 min | $83.56 | Plans negotiate; applies out of network | 94% | AHCCCS Arizona Health Care Cost Containm |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $20.80since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $20.78since 2026-10-01 | 15 min | $83.12 | Plans negotiate; applies out of network | 79–90% | Medi-Cal Rates (Rates files zip: rates_d |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $20.46since 2020-01-01 | 15 min | $81.84 | Plans negotiate; applies out of network | 91–94% | OutPatient Site of Service (in Zipped Fe |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $19.59since 2026-01-01 | 15 min | $78.36 | Not classified | 84% | CMAP fee schedule: Independent Audiology |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri Adult Brain Injury Waiver (1915(c)) | $19.53since 2023-07-01 | 15 min | $78.12 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Brain Injury |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid School Program (school-based services) | $19.15since 2020-01-01 | 15 min | $76.60 | Paid by the state, outside plans | 87% | ODM CPT/HCPCS procedure code changes for |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $19.05since 2021-09-01 | 15 min | $76.20 | Plans negotiate; applies out of network | 83–87% | PA DHS PROMISe Outpatient Fee Schedule ( |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $18.86since 2020-01-01 | 15 min | $75.44 | Plans negotiate; applies out of network | 86% | ForwardHealth max fee schedule: Therapy- |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $18.35since 2026-07-01 | 15 min | $73.40 | Plans negotiate; applies out of network | 80% | Child Health Plan Plus FY 2026-2027 Fee |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $18.02since 2026-02-01 | 15 min | $72.08 | Plans negotiate; applies out of network | 78–81% | OHP FFS medical-dental fee schedule (fee |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $17.55since 2024-10-01 | 15 min | $70.20 | Plans negotiate; applies out of network | 78–80% | MDHHS Occupational Therapy Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $17.07since 2026-07-01 | 15 min | $68.28 | Plans negotiate; applies out of network | 77% | DMAS procedure fee file cptmedical4.csv |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $16.98since 2026-02-01 | 15 min | $67.92 | Plans negotiate; applies out of network | 76% | MHCP Fee Schedule - Current Fee Schedule |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $16.46since 2026-10-01 | 15 min | $65.84 | Plans negotiate; applies out of network | 68–72% | Emergency Adoption (date filed: Septembe |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $14.38since 2026-01-01 | 15 min | $57.52 | Not classified | — | Maryland Medicaid Professional Services |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $14.29since 2021-01-01 | 15 min | $57.16 | Not classified | 65% | SCDHHS Physician Assistant/Nurse Practit |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $13.87since 2026-01-01 | First 15 min | — | Plans negotiate; applies out of network | — | KY Medicaid OT fee schedule (2026Occupat |
| 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 | 48–51% | HCA Habilitative services fee schedule ( |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $11.20since 2026-07-01 | 15 min | $44.80 | Not classified | 46–48% | NJMMIS Procedure Master Listing CPTHCPCS |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $6.96since 2022-05-01 | 15 min | $27.84 | Plans must pay at least this | 31–32% | Louisiana Medicaid EPSDT Health Services |
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 97129?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $18.35. Nebraska pays the most ($30.81 per 15 min) and Louisiana the least ($6.96 per 15 min).
Which state pays the highest Medicaid rate for 97129?
Nebraska, at $30.81 per 15 min ($123.24 per hour), effective 2026-07-01.
How do Medicaid rates for 97129 compare with Medicare?
Where the billing units match, Medicaid pays between 32% and 142% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 97129?
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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