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99412 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 12 state Medicaid programs publish a fee-for-service rate for 99412 at the physician psychologist level. Rates run from $9.20 in Massachusetts to $40.00 in Kansas, with a median of $18.02.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
12
Median rate
$18.02units vary by state
Highest
$40.00Kansas
Medicare (non-facility)
—not on the physician fee schedule

99412 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule)$40.00since 1992-01-01——Plans must pay at least this—KMAP Fee Schedule TXIX Medicaid (FeeSche
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$28.99since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal school-based services (Local Educational Agency)$23.27since 2026-10-01——Paid by the state, outside plans—Medi-Cal Rates (Rates files zip: rates_d
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$20.48since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$19.94since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$19.84since 2021-01-01——Plans negotiate; applies out of network—KY Medicaid Preventive fee schedule (202
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$16.19since 2024-07-01——Not classified—CMAP fee schedule: Clinic and Outpatient
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$13.65since 2022-07-01——Plans must pay at least this—Provider Type 91 Pharmacist Reimbursemen
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$12.60since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$10.50since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$9.45since 2026-10-01——Plans negotiate; applies out of network—Part II Policies and Procedures for Chil
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$9.20since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe

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 99412?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $18.02. Kansas pays the most ($40.00) and Massachusetts the least ($9.20).

Which state pays the highest Medicaid rate for 99412?

Kansas, at $40.00, effective 1992-01-01.

Do managed-care plans pay the same rate for 99412?

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.

Related Physician & professional codes

Track 99412 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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