97532 Medicaid reimbursement rates by state
Cognitive rehabilitation therapy. 6 state Medicaid programs publish a fee-for-service rate for 97532. Rates run from $14.12 in Pennsylvania to $37.87 in New Jersey, with a median of $22.56.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $22.56units vary by state
- Highest
- $37.87New Jersey
- Medicare (non-facility)
- —not on the physician fee schedule
97532 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 |
|---|---|---|---|---|---|---|
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey DDD Supports Program (SP) for adults with IDD living with family or independently | $37.87since 2024-07-01 | 15 min | $151.48 | Paid by the state, outside plans | — | Quick Guide - FY2025 COLA Increases (dat |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medically Fragile 1915(c) Waiver (NM.0223) | $26.33since 2026-07-01 | 15 min | $105.32 | Paid by the state, outside plans | — | Medically Fragile Waiver Fee Schedule (E |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $24.92since 2017-01-01 | — | — | Plans negotiate; applies out of network | — | Physician Maximum Allowed Fee Schedule - |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid School Program (school-based services) | $20.20since 2020-06-12 | — | — | Paid by the state, outside plans | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $18.06since 2025-06-06 | — | — | Plans negotiate; applies out of network | — | Rates for Restorative Services (effectiv |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania COMMCARE Waiver (traumatic brain injury; historical, merged 2017) | $14.12since 2016-12-01 | 15 min | $56.48 | Not classified | — | OLTL Home and Community Based Waiver Ser |
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 97532?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $22.56. New Jersey pays the most ($37.87 per 15 min) and Pennsylvania the least ($14.12 per 15 min).
Which state pays the highest Medicaid rate for 97532?
New Jersey, at $37.87 per 15 min ($151.48 per hour), effective 2024-07-01.
Do managed-care plans pay the same rate for 97532?
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.