97761 Medicaid reimbursement rates by state
Artificial limb training. 39 state Medicaid programs publish a fee-for-service rate for 97761 at the physician psychologist level. Rates run from $14.17 in Kentucky to $59.34 in Alaska, with a median of $32.26.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 39
- Median rate
- $32.26units vary by state
- Highest
- $59.34Alaska
- Medicare (non-facility)
- $37.08–$50.142026 physician fee schedule
97761 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 |
|---|---|---|---|---|---|---|
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health) | $59.34since 2026-07-01 | 15 min | $237.36 | Not classified | 118% | Alaska Medicaid Therapy Fee Schedule SFY |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $58.14since 2025-01-01 | 15 min | $232.56 | Plans must pay at least this | 151% | New Mexico Medicaid Fee for Service CPT |
| MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service) | $56.81since 2026-07-01 | 15 min | $227.24 | Not classified | 141% | Montana Healthcare Programs fee schedule |
| North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service) | $45.06since 2026-07-01 | 15 min | $180.24 | Not classified | 112% | ND Medicaid Professional (General) Servi |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $43.86since 2026-06-01 | 15 min | $175.44 | Plans negotiate; applies out of network | 101% | Medicaid Fee-For-Service (FFS) Fee Sched |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $42.14since 2026-10-01 | 15 min | $168.56 | Plans negotiate; applies out of network | 106% | AHCCCS Arizona Health Care Cost Containm |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $39.38since 2026-01-01 | 15 min | $157.52 | Plans negotiate; applies out of network | 98% | DMAP 2026 Physician Fee Schedule |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $38.40since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service | $36.42since 2026-01-01 | 15 min | $145.68 | Not classified | 80% | REFRP00178CSV - Medical Fee Schedule Rep |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $36.32since 2026-07-01 | 15 min | $145.28 | Not classified | 90% | Wyoming Medicaid Downloadable Fee Schedu |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $35.96since 2026-10-01 | 15 min | $143.84 | Plans negotiate; applies out of network | 88–95% | Part II Policies and Procedures for Chil |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $35.43since 2026-07-01 | 15 min | $141.72 | Plans must pay at least this | 94% | SoonerCare Title XIX Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $35.01since 2026-07-01 | 15 min | $140.04 | 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) | $34.80since 2026-07-01 | 15 min | $139.20 | Plans negotiate; applies out of network | 83% | Child Health Plan Plus FY 2026-2027 Fee |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $34.09since 2026-01-01 | 15 min | $136.36 | Not classified | 85% | Vermont Medicaid Fee Schedule - CPT Code |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $33.37since 2026-07-01 | 15 min | $133.48 | 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) | $33.15since 2026-07-01 | 15 min | $132.60 | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $32.87since 2025-07-01 | 15 min | $131.48 | Plans must pay at least this | 84–87% | Louisiana Medicaid Professional Services |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $32.74since 2026-02-01 | 15 min | $130.96 | 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) | $32.26since 2026-10-01 | 15 min | $129.04 | Plans negotiate; applies out of network | 71–77% | Emergency Adoption (date filed: Septembe |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $31.43since 2022-07-01 | 15 min | $125.72 | Plans must pay at least this | 80–85% | MO HealthNet fee schedule: Practitioner |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $31.39since 2026-02-01 | 15 min | $125.56 | Plans negotiate; applies out of network | 77% | MHCP Fee Schedule - Current Fee Schedule |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $30.60since 2026-07-01 | 15 min | $122.40 | Plans negotiate; applies out of network | 79% | Utah Medicaid Coverage and Reimbursement |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $27.82since 2026-01-01 | 15 min | $111.28 | Not classified | 69–72% | MaineCare Fee Schedule (MaineCare UCR, H |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $27.00since 2019-09-01 | 15 min | $108.00 | 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) | $26.31since 2026-07-01 | 15 min | $105.24 | Plans negotiate; applies out of network | 68% | Nebraska Medicaid fee schedule 471-000-5 |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $25.77since 2026-01-01 | 15 min | $103.08 | Plans negotiate; applies out of network | 65–67% | MDHHS Occupational Therapy Fee Schedule |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $25.03since 2024-08-01 | 15 min | $100.12 | Paid by the state, outside plans | 66% | KMAP Fee Schedule MKN Medicaid (FeeSched |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $24.97since 2022-01-01 | 15 min | $99.88 | Plans negotiate; applies out of network | 64% | ForwardHealth max fee schedule: Therapy- |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $24.65since 2026-07-01 | 15 min | $98.60 | Plans negotiate; applies out of network | 53–59% | HCA Habilitative services fee schedule ( |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $23.58since 2024-01-01 | 15 min | $94.32 | Plans negotiate; applies out of network | 61% | Appendix DD to OAC 5160-1-60 (Non-Instit |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $23.30since 2013-07-01 | 15 min | $93.20 | Plans must pay at least this | 61% | Iowa Medicaid fee schedule #02 PHYSICIAN |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $22.80since 2026-01-01 | 15 min | $91.20 | Not classified | 53% | CMAP fee schedule: Independent Physical |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $21.88since 2011-07-11 | 15 min | $87.52 | Not classified | 57% | SCDHHS Base Physician Fee Schedule (sche |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $21.86since 2015-07-01 | 15 min | $87.44 | Plans must pay at least this | 54% | Provider Type 77 Physician's Assistant R |
| North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service) | $21.75since 2025-10-01 | 15 min | $87.00 | Plans must pay at least this | 56% | NC Medicaid fee schedule 'Physician Assi |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $17.97since 2023-07-01 | 15 min | $71.88 | Plans negotiate; applies out of network | 43% | 2026 Fee Schedule - Covered Procedures R |
| Rhode IslandPhysical therapist · Rhode Island Medicaid (fee-for-service) | $15.48since 2006-01-01 | 15 min | $61.92 | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $14.17since 2026-01-01 | 15 min | $56.68 | 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 97761?
It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $32.26. Alaska pays the most ($59.34 per 15 min) and Kentucky the least ($14.17 per 15 min).
Which state pays the highest Medicaid rate for 97761?
Alaska, at $59.34 per 15 min ($237.36 per hour), effective 2026-07-01.
How do Medicaid rates for 97761 compare with Medicare?
Where the billing units match, Medicaid pays between 37% and 151% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 97761?
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 97761 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.