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E1014 Medicaid reimbursement rates by state

Reclining back, addition to pediatric size wheelchair. 31 state Medicaid programs publish a fee-for-service rate for E1014 at the nurse midwife level. Rates run from $27.75 in Pennsylvania to $520.60 in Minnesota, with a median of $294.85.

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

States publishing
31
Median rate
$294.85units vary by state
Highest
$520.60Minnesota
Medicare (non-facility)
—not on the physician fee schedule

E1014 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
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$520.60since 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)$520.60since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$491.95since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$489.38since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$446.80since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$425.20since 2022-02-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$391.21since 2021-07-01——Plans negotiate; applies out of network—HCA Complex rehab technology fee schedul
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$376.18since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$365.73since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$350.67since 2019-07-24——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-07-
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$336.67since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$331.76since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$319.44since 2017-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$302.85since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$299.59since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$294.85since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$292.11since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$292.11since 2026-05-20——Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$246.14since 2021-09-01——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)$240.99since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$51.04since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$44.25since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$43.86since 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)$42.36since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$41.65since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$40.83since 2025-10-01——Plans negotiate; applies out of network—Durable Medical Equipment Services Fee S
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$36.88since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$36.52since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$32.26since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$29.07since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$27.75since 2012-12-28——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (

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 E1014?

It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $294.85. Minnesota pays the most ($520.60) and Pennsylvania the least ($27.75).

Which state pays the highest Medicaid rate for E1014?

Minnesota, at $520.60, effective 2026-01-01.

Do managed-care plans pay the same rate for E1014?

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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