99605 Medicaid reimbursement rates by state
Medication training and support. 11 state Medicaid programs publish a fee-for-service rate for 99605. Rates run from $10.00 in Washington to $199.45 in California, with a median of $50.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $50.00units vary by state
- Highest
- $199.45California
- Medicare (non-facility)
- —not on the physician fee schedule
99605 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 |
|---|---|---|---|---|---|---|
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $199.45⚠ over 3× mediansince 2026-07-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $85.00since 2017-04-01 | — | — | Paid by the state, outside plans | — | ForwardHealth interactive max fee schedu |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $75.00since 2021-06-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Practitioner |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $52.00since 2008-01-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $50.67since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $50.00since 2020-03-01 | — | — | Plans negotiate; applies out of network | — | MDHHS COVID-19, March 2020 |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $45.45since 2024-07-01 | — | — | State sets the plan rate | — | Iowa Medicaid fee schedule #82 PHARMACIS |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $44.80since 2024-03-01 | — | — | Plans negotiate; applies out of network | — | 54 Pa.B. 699 Medical Assistance Program |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $40.00since 2025-01-01 | — | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $10.00since 2013-01-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $10.00since 2021-07-01 | — | — | Plans negotiate; applies out of network | — | HCA Pharmacy special services fee schedu |
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 99605?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $50.00. California pays the most ($199.45) and Washington the least ($10.00).
Which state pays the highest Medicaid rate for 99605?
California, at $199.45, effective 2026-07-01.
Do managed-care plans pay the same rate for 99605?
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.