A0398 Medicaid reimbursement rates by state
Als routine disposable supplies. 8 state Medicaid programs publish a fee-for-service rate for A0398. Rates run from $1.00 in Virginia to $150.00 in Kentucky, with a median of $13.63.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $13.63units vary by state
- Highest
- $150.00Kentucky
- Medicare (non-facility)
- —not on the physician fee schedule
A0398 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 |
|---|---|---|---|---|---|---|
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $150.00⚠ over 3× mediansince 2022-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Transportation fee schedule |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $49.87⚠ over 3× mediansince 2023-07-01 | — | — | Plans must pay at least this | — | LDH Medicaid Emergency Ground Ambulance |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $18.69since 2018-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Ambul |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Chronic Disease Program (adult cystic fibrosis, hemophilia home care, chronic renal disease; state-funded) | $14.58since 2006-10-01 | — | — | Not classified | — | ForwardHealth max fee schedule: Renal Di |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $12.68since 2025-05-16 | — | — | Not classified | — | Arkansas Medicaid Transportation Fee Sch |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $5.23since 2018-09-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #11 AMBULANCE |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $5.16since 2019-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Ambulance |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $1.00since 2008-04-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
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 A0398?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $13.63. Kentucky pays the most ($150.00) and Virginia the least ($1.00).
Which state pays the highest Medicaid rate for A0398?
Kentucky, at $150.00, effective 2022-01-01.
Do managed-care plans pay the same rate for A0398?
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.