A0999 Medicaid reimbursement rates by state
Unlisted ambulance service. 6 state Medicaid programs publish a fee-for-service rate for A0999. Rates run from $5.01 in Texas to $262.55 in Colorado, with a median of $21.58.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $21.58units vary by state
- Highest
- $262.55Colorado
- Medicare (non-facility)
- —not on the physician fee schedule
A0999 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 |
|---|---|---|---|---|---|---|
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $262.55since 2026-07-01 | Per Trip | — | Not classified | — | BHST Rates (07/26) |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $85.82⚠ over 3× mediansince 2011-07-11 | — | — | Not classified | — | SCDHHS Ambulance Fee Schedule (schedule |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $32.86⚠ over 3× mediansince 2023-02-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Transpor |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $10.30since 2019-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Ambulance |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $8.77since 2025-05-16 | — | — | Not classified | — | Arkansas Medicaid Transportation Fee Sch |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $5.01since 1976-12-19 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Ambul |
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 A0999?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $21.58. Colorado pays the most ($262.55 per Per Trip) and Texas the least ($5.01).
Which state pays the highest Medicaid rate for A0999?
Colorado, at $262.55 per Per Trip, effective 2026-07-01.
Do managed-care plans pay the same rate for A0999?
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.