A0998 Medicaid reimbursement rates by state
Ambulance response and treatment, no transport. 25 state Medicaid programs publish a fee-for-service rate for A0998. Rates run from $33.86 in North Carolina to $753.35 in Georgia, with a median of $115.34.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 25
- Median rate
- $115.34units vary by state
- Highest
- $753.35Georgia
- Medicare (non-facility)
- —not on the physician fee schedule
A0998 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 |
|---|---|---|---|---|---|---|
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $753.35⚠ over 3× mediansince 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Part II Policies and Procedures for Emer |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $420.62⚠ over 3× mediansince 2020-03-18 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $277.82since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Treat and Refer rates (Treat |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $276.53since 2024-07-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $269.94since 2026-01-01 | — | — | Plans must pay at least this | — | MHCP Fee Schedule - Current Fee Schedule |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $265.54since 2023-10-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Ambulance Fee Schedule database, O |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $252.00since 2022-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Ambulance |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $250.00since 2026-07-01 | — | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $214.89since 2024-01-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $182.18since 2025-09-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $157.88since 2021-02-04 | — | — | Not classified | — | COVID-19 Payment Rates for Certain Commu |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $117.65since 2025-01-01 | one time | — | Plans must pay at least this | — | Medicaid Transportation Fee Schedule - E |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $115.34since 2019-07-01 | — | — | Paid by the state, outside plans | — | HCA Ambulance transportation fee schedul |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $101.80since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $98.74since 2024-07-01 | — | — | Not classified | — | CMAP fee schedule: Transportation - Basi |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $95.00since 2023-01-01 | — | — | Not classified | — | MaineCare Section 5 - Ambulance Services |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $93.60since 2025-05-01 | — | — | Plans must pay at least this | — | 2026 Fee Schedule - Covered Procedures R |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $82.50since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Transportation fee schedule |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $69.00since 2025-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Transpor |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $58.00since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $56.72since 2009-05-25 | — | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $43.44since 2023-04-01 | — | — | Not classified | — | BMS Ambulance Fee Schedule Effective 4/1 |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $42.34since 2018-09-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #11 AMBULANCE |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $37.71since 2011-07-11 | — | — | Not classified | — | SCDHHS Ambulance Fee Schedule (schedule |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $33.86since 2023-11-01 | — | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Ambulance Serv |
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 A0998?
It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $115.34. Georgia pays the most ($753.35) and North Carolina the least ($33.86).
Which state pays the highest Medicaid rate for A0998?
Georgia, at $753.35, effective 2026-10-01.
Do managed-care plans pay the same rate for A0998?
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.
Related Transportation codes
A0429Ambulance service, basic life support, emergency transport · 42 statesA0428Ambulance service, basic life support · 41 statesA0425Ground mileage, per statute mile · 40 statesA0427Ambulance service, advanced life support · 40 statesA0431Ambulance service, conventional air services, transport · 40 statesA0426Ambulance service, advanced life support · 37 statesA0430Ambulance service, conventional air services, transport · 36 statesA0436Rotary wing air mileage, per statute mile · 36 statesA0433Advanced life support, level 2 (als 2) · 34 statesA0435Fixed wing air mileage, per statute mile · 33 statesA0434Specialty care transport (sct) · 32 statesT2003Non-emergency transportation; encounter/trip · 28 states
Track A0998 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.