A5510 Medicaid reimbursement rates by state
For diabetics only, direct formed. 8 state Medicaid programs publish a fee-for-service rate for A5510 at the physician psychologist level. Rates run from $22.40 in Ohio to $36.20 in Arizona, with a median of $28.01.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $28.01units vary by state
- Highest
- $36.20Arizona
- Medicare (non-facility)
- —not on the physician fee schedule
A5510 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 |
|---|---|---|---|---|---|---|
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $36.20since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Durable |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $34.46since 2022-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $32.00since 2020-01-01 | — | — | State sets the plan rate | — | KY Medicaid DME fee schedule (2020Medica |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $29.14since 2023-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Medical Suppliers/Orthotists/Prost |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $26.87since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | O&P Fee Schedule_2026_Q4 20260928135514. |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $26.16since 2012-07-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Durable Medical Equip |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $22.70since 2024-07-01 | — | — | Not classified | — | SCDHHS Durable Medical Equipment (DME) F |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $22.40since 2024-01-01 | Each | — | Plans negotiate; applies out of network | — | ODM DMEPOS combined payment schedules (a |
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 A5510?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $28.01. Arizona pays the most ($36.20) and Ohio the least ($22.40 per Each).
Which state pays the highest Medicaid rate for A5510?
Arizona, at $36.20, effective 2026-10-01.
Do managed-care plans pay the same rate for A5510?
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.