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99492 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 32 state Medicaid programs publish a fee-for-service rate for 99492 at the physician psychologist level. Rates run from $59.94 in New Hampshire to $225.36 in Montana, with a median of $114.09.

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

States publishing
32
Median rate
$114.09units vary by state
Highest
$225.36Montana
Medicare (non-facility)
$147.39–$206.102026 physician fee schedule

99492 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
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$225.36since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$164.08since 2026-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$162.78since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$158.63since 2026-01-01——Plans must pay at least this—Maryland Medicaid Professional Services
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$146.05since 2022-06-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$145.51since 2024-04-15——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$142.16since 2018-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$141.26since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$139.83since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$135.64since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$133.86since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$129.74since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$129.11since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$121.51since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$120.70since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
ColoradoAny qualified provider (rate does not vary by provider) · Colorado behavioral health services paid fee-for-service by HCPF (outside the RAE capitation)$117.01since 2026-07-01——Paid by the state, outside plans—Integrated Care Fee Schedule FY26-27
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$111.16since 2024-10-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$109.94since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'ACA Nurse Prac
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$107.30since 2024-07-31——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$105.61since 2025-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$102.24since 2026-01-01——Plans negotiate; applies out of network—MDHHS Local Health Department, January 2
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid behavioral health services (DMAS fee-for-service rates: community mental health, ARTS, ABA, BH redesign)$95.46since 2024-01-01——Not classified—DMAS Medicaid bulletin: Behavioral Healt
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$92.90since 2026-06-01——Plans must pay at least this—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)$84.51since 2024-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$82.64since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$80.03since 2023-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$76.71since 2024-04-01——Plans negotiate; applies out of network—Max Allow Payment_OutP Site of Service A
PennsylvaniaRegistered nurse (RN) · Pennsylvania Medical Assistance (fee-for-service)$71.18since 2019-08-19——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
IllinoisPhysician or licensed psychologist (incl. BCBA-D) · Illinois Medicaid (HFS fee-for-service)$69.45since 2025-01-01——Plans negotiate; applies out of network—CY 2025 Access Rule Comparative Analysis
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$63.90since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$62.15since 2026-07-01——Plans must pay at least this—NJMMIS Procedure Master Listing CPTHCPCS
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$59.94since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R

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 99492?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $114.09. Montana pays the most ($225.36) and New Hampshire the least ($59.94).

Which state pays the highest Medicaid rate for 99492?

Montana, at $225.36, effective 2026-07-01.

Do managed-care plans pay the same rate for 99492?

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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