99199 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 8 state Medicaid programs publish a fee-for-service rate for 99199 at the physician psychologist level. Rates run from $0.00 in Arkansas to $900.00 in Massachusetts, with a median of $26.82.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $26.82units vary by state
- Highest
- $900.00Massachusetts
- Medicare (non-facility)
- —not on the physician fee schedule
99199 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 |
|---|---|---|---|---|---|---|
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $900.00⚠ over 3× mediansince 2023-12-08 | — | — | Paid by the state, outside plans | — | Rates for Doula Services (effective Dece |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $459.00⚠ over 3× mediansince 2026-01-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Professional Services |
| IowaAgency provider · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $84.00⚠ over 3× mediansince 2012-06-11 | — | — | Paid by the state, outside plans | — | Iowa Medicaid fee schedule #40 AREA EDUC |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $37.01since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $16.62since 2025-01-01 | — | — | Plans expected to pay at least this | — | NJMMIS Procedure Master Listing CPTHCPCS |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $12.00since 2026-01-01 | — | — | Plans must pay at least this | — | DMAS procedure fee file cptmedical4.csv |
| WisconsinPhysician or licensed psychologist (incl. BCBA-D) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $10.00since 2014-07-01 | — | — | Paid by the state, outside plans | — | ForwardHealth max fee schedule: Mntl Hlt |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $0.00since 2025-06-04 | — | — | Not classified | — | Arkansas Medicaid Certified Nurse-Midwif |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 99199?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $26.82. Massachusetts pays the most ($900.00) and Arkansas the least ($0.00).
Which state pays the highest Medicaid rate for 99199?
Massachusetts, at $900.00, effective 2023-12-08.
Do managed-care plans pay the same rate for 99199?
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.