A0021 Medicaid reimbursement rates by state
Ambulance service, outside state per mile, transport. 6 state Medicaid programs publish a fee-for-service rate for A0021. Rates run from $0.56 in Rhode Island to $350.00 in West Virginia, with a median of $2.18.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $2.18per mile
- Highest
- $350.00West Virginia
- Medicare (non-facility)
- —not on the physician fee schedule
A0021 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 |
|---|---|---|---|---|---|---|
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $350.00⚠ over 3× mediansince 2023-04-01 | mile | — | Not classified | — | BMS Ambulance Fee Schedule Effective 4/1 |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $9.46⚠ over 3× mediansince 2026-01-01 | mile | — | Plans must pay at least this | — | MHCP Fee Schedule - Current Fee Schedule |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $2.35since 2023-07-01 | mile | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $2.00since 2023-01-01 | mile | — | Not classified | — | MaineCare Section 5 - Ambulance Services |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $1.78since 2026-07-01 | mile | — | Not classified | — | EMT Rates (07/26) |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $0.56since 2012-02-25 | mile | — | Paid by the state, outside plans | — | RI Medicaid Interactive Fee For Service |
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 A0021?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $2.18 per mile. West Virginia pays the most ($350.00 per mile) and Rhode Island the least ($0.56 per mile).
Which state pays the highest Medicaid rate for A0021?
West Virginia, at $350.00 per mile, effective 2023-04-01.
Do managed-care plans pay the same rate for A0021?
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.