A9901 Medicaid reimbursement rates by state
Dme delivery, set up. 7 state Medicaid programs publish a fee-for-service rate for A9901. Rates run from $0.39 in Wyoming to $73.50 in Vermont, with a median of $18.15.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $18.15units vary by state
- Highest
- $73.50Vermont
- Medicare (non-facility)
- —not on the physician fee schedule
A9901 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 |
|---|---|---|---|---|---|---|
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $73.50⚠ over 3× mediansince 2023-03-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Persons who are Elderly waiver (IDoA Community Care Program, IL.0143) | $50.00since 2026-01-01 | Install | — | Plans must pay at least this | — | Community Care Program Current Rates (Pe |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $28.74⚠ over 3× mediansince 2023-07-01 | — | — | Not classified | — | 2026 Fee Schedule - Covered Procedures R |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $18.15since 2010-07-01 | Each | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $3.00since 2026-03-01 | — | — | Plans negotiate; applies out of network | — | Rates for Durable Medical Equipment, Oxy |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $1.00since 2000-01-01 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $0.39since 2021-01-01 | — | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
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 A9901?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $18.15. Vermont pays the most ($73.50) and Wyoming the least ($0.39).
Which state pays the highest Medicaid rate for A9901?
Vermont, at $73.50, effective 2023-03-01.
Do managed-care plans pay the same rate for A9901?
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.