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A4452 Medicaid reimbursement rates by state

Tape, waterproof, per 18 square inches. 37 state Medicaid programs publish a fee-for-service rate for A4452 at the physician psychologist level. Rates run from $0.12 in Wisconsin to $2.18 in Arkansas, with a median of $0.40.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
37
Median rate
$0.40units vary by state
Highest
$2.18Arkansas
Medicare (non-facility)
—not on the physician fee schedule

A4452 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$2.18⚠ over 3× mediansince 2025-05-16——Not classified—Arkansas Medicaid Home Health Fee Schedu
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$0.66since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$0.54since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$0.50since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$0.50since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$0.50since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$0.50since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$0.49since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$0.49since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$0.48since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$0.47since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$0.45since 2026-01-011 unit = 18 sq inches—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$0.45since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$0.43since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$0.43since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$0.42since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$0.42since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$0.41since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
FloridaAny qualified provider (rate does not vary by provider) · Florida iBudget waiver for people with developmental disabilities (APD)$0.40since 2015-10-19——Paid by the state, outside plans—Developmental Disabilities Individual Bu
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$0.40since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$0.40since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$0.39since 2021-01-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$0.39since 2022-01-01——Plans negotiate; applies out of network—KY Medicaid Home Health fee schedule (20
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$0.38since 2024-04-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$0.38since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$0.37since 2025-10-01each—Plans negotiate; applies out of network—NC Medicaid fee schedule 'Home Health Se
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$0.36since 2003-05-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$0.36since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$0.34since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$0.33since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$0.33since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$0.32since 2004-10-0118 square inches—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$0.32since 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$0.32since 2003-08-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$0.29since 2008-01-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$0.28since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$0.12since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies

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 A4452?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $0.40. Arkansas pays the most ($2.18) and Wisconsin the least ($0.12).

Which state pays the highest Medicaid rate for A4452?

Arkansas, at $2.18, effective 2025-05-16.

Do managed-care plans pay the same rate for A4452?

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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