G0471 Medicaid reimbursement rates by state
Physical therapy. 11 state Medicaid programs publish a fee-for-service rate for G0471 at the agency level. Rates run from $1.00 in Kansas to $101.39 in Texas, with a median of $11.09.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $11.09units vary by state
- Highest
- $101.39Texas
- Medicare (non-facility)
- —not on the physician fee schedule
G0471 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 |
|---|---|---|---|---|---|---|
| TexasPhysical therapist · Texas Medicaid nursing facility (HHSC statewide rates) | $101.39since 2021-09-01 | unit | — | Plans negotiate; applies out of network | — | HHSC PFD NF rehabilitative and specializ |
| KentuckyAgency provider · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $11.34since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Clinical Lab fee schedule (2 |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $11.34since 2026-01-01 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| South DakotaAgency provider · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $11.34since 2026-01-01 | — | — | Not classified | — | South Dakota Medicaid Laboratory fee sch |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $11.09since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $11.09since 2026-06-01 | — | — | Plans negotiate; applies out of network | — | Medicaid Fee-For-Service (FFS) Fee Sched |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $10.21since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Independent L |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $9.32since 2024-09-01 | — | — | Plans negotiate; applies out of network | — | Rates for Clinical Laboratory Services ( |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $9.07since 2026-07-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $9.07since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $1.00since 2014-10-01 | — | — | 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 G0471?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $11.09. Texas pays the most ($101.39 per unit) and Kansas the least ($1.00).
Which state pays the highest Medicaid rate for G0471?
Texas, at $101.39 per unit, effective 2021-09-01.
Do managed-care plans pay the same rate for G0471?
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.