B9998 Medicaid reimbursement rates by state
Noc for enteral supplies. 6 state Medicaid programs publish a fee-for-service rate for B9998 at the unlicensed practitioner level. Rates run from $13.00 in Ohio to $249.90 in Maryland, with a median of $17.85.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $17.85units vary by state
- Highest
- $249.90Maryland
- Medicare (non-facility)
- —not on the physician fee schedule
B9998 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 |
|---|---|---|---|---|---|---|
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $249.90⚠ over 3× mediansince 2013-07-01 | — | — | Not classified | — | Maryland Medicaid DME/DMS/Oxygen, Prosth |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $90.84⚠ over 3× mediansince 2005-12-12 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $20.70since 2016-01-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Dmepo |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $15.00since 2022-10-01 | — | — | Plans negotiate; applies out of network | — | Copy of Durable Medical Equipment Fee Sc |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $13.08since 2026-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| OhioUnlicensed (bachelor's/master's) behavioral health practitioner · Ohio Medicaid (fee-for-service) | $13.00 | — | — | Plans negotiate; applies out of network | — | ODM DMEPOS payment schedule (appendix to |
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 B9998?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $17.85. Maryland pays the most ($249.90) and Ohio the least ($13.00).
Which state pays the highest Medicaid rate for B9998?
Maryland, at $249.90, effective 2013-07-01.
Do managed-care plans pay the same rate for B9998?
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.