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G0140 Medicaid reimbursement rates by state

Principal illness navigation - peer support by certified or.... 6 state Medicaid programs publish a fee-for-service rate for G0140 at the physician psychologist level. Rates run from $18.51 in Kansas to $125.36 in Montana, with a median of $73.24.

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

States publishing
6
Median rate
$73.24units vary by state
Highest
$125.36Montana
Medicare (non-facility)
$82.89–$95.522026 physician fee schedule

G0140 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
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$125.36since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$76.82since 2024-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$74.57since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$71.90since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$48.67since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$18.51since 2024-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 G0140?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $73.24. Montana pays the most ($125.36) and Kansas the least ($18.51).

Which state pays the highest Medicaid rate for G0140?

Montana, at $125.36, effective 2026-07-01.

Do managed-care plans pay the same rate for G0140?

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.

Related Physician & professional codes

Track G0140 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state