A4436 Medicaid reimbursement rates by state
Irrigation supply; sleeve, reusable, per month. 27 state Medicaid programs publish a fee-for-service rate for A4436 at the physician psychologist level. Rates run from $0.01 in Missouri to $27.33 in Washington, with a median of $20.91.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 27
- Median rate
- $20.91units vary by state
- Highest
- $27.33Washington
- Medicare (non-facility)
- —not on the physician fee schedule
A4436 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 |
|---|---|---|---|---|---|---|
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $27.33since 2026-07-01 | month | — | Plans negotiate; applies out of network | — | HCA Medical equipment and supplies fee s |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $27.33since 2026-01-01 | month | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $27.33since 2026-01-01 | month | — | Not classified | — | Montana Healthcare Programs fee schedule |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $23.62since 2026-07-01 | month | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $23.52since 2026-01-01 | month | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $23.46since 2025-05-16 | month | — | Not classified | — | Arkansas Medicaid Home Health Fee Schedu |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $23.23since 2026-01-01 | month | — | Not classified | — | Maryland Medicaid DME/DMS/Oxygen, Prosth |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $23.23since 2026-01-01 | month | — | Plans must pay at least this | — | SoonerCare Durable Medical Equipment Rat |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $23.23since 2026-01-01 | month | — | Not classified | — | MaineCare Section 60, Medical Supplies a |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $21.86since 2026-07-01 | month | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $21.86since 2026-04-01 | month | — | Plans must pay at least this | — | BMS DME 2026 Rural Fee Schedule Effectiv |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $21.68since 2024-07-01 | month | — | State sets the plan rate | — | Iowa Medicaid fee schedule #08 PHARMACY |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $21.43since 2026-01-01 | month | — | Plans negotiate; applies out of network | — | ODM DMEPOS combined payment schedules (a |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $20.91since 2026-01-01 | 1 unit = 1 month supply | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $19.94since 2022-01-01 | month | — | Not classified | — | CMAP fee schedule: 10/01/2026 MEDS - Med |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $19.94since 2022-01-01 | month | — | Plans negotiate; applies out of network | — | Provider Type 33, Durable Medical Equipm |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $19.91since 2026-07-01 | month | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $19.15since 2022-07-01 | month | — | Not classified | — | Health First Colorado Physician Fee Sche |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $19.13since 2026-07-01 | month | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $18.96since 2023-04-01 | month | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Durable |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $18.90since 2026-03-01 | month | — | Plans negotiate; applies out of network | — | Rates for Durable Medical Equipment, Oxy |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $17.60since 2022-01-01 | month | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Dmepo |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $17.27since 2023-01-01 | month | — | Plans negotiate; applies out of network | — | MDHHS Medical Suppliers/Orthotists/Prost |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $15.96since 2025-10-01 | month | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Durable Medica |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $12.98since 2026-07-01 | month | — | Plans negotiate; applies out of network | — | Durable Medical Equipment and Medical Su |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $4.62since 2022-01-01 | month | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Supplies |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $0.01since 2022-01-01 | month | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Home Health |
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 A4436?
It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $20.91. Washington pays the most ($27.33 per month) and Missouri the least ($0.01 per month).
Which state pays the highest Medicaid rate for A4436?
Washington, at $27.33 per month, effective 2026-07-01.
Do managed-care plans pay the same rate for A4436?
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.
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Track A4436 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.