A0390 Medicaid reimbursement rates by state
Als mileage (per mile). 7 state Medicaid programs publish a fee-for-service rate for A0390. Rates run from $1.30 in California to $10.60 in Delaware, with a median of $4.74.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $4.74per mile
- Highest
- $10.60Delaware
- Medicare (non-facility)
- —not on the physician fee schedule
A0390 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 |
|---|---|---|---|---|---|---|
| DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $10.60since 2026-01-01 | mile | — | Plans negotiate; applies out of network | — | DMAP 2026 Physician Fee Schedule |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $9.04since 2023-02-01 | mile | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Transpor |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $5.49since 2021-07-01 | mile | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $4.74since 2013-07-01 | mile | — | Paid by the state, outside plans | — | Provider Type 32, Specialty 932 Ambulanc |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $4.47since 2025-07-01 | mile | — | Not classified | — | Montana Healthcare Programs fee schedule |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $2.60since 2022-08-01 | mile | — | Plans must pay at least this | — | 2026 Fee Schedule - Covered Procedures R |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $1.30since 2026-10-01 | mile | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
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 A0390?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $4.74 per mile. Delaware pays the most ($10.60 per mile) and California the least ($1.30 per mile).
Which state pays the highest Medicaid rate for A0390?
Delaware, at $10.60 per mile, effective 2026-01-01.
Do managed-care plans pay the same rate for A0390?
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.