G2212 Medicaid reimbursement rates by state
Occupational therapy. 22 state Medicaid programs publish a fee-for-service rate for G2212 at the physician psychologist level. Rates run from $17.17 in New Jersey to $79.84 in Texas, with a median of $29.43.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 22
- Median rate
- $29.43units vary by state
- Highest
- $79.84Texas
- Medicare (non-facility)
- $32.04–$40.852026 physician fee schedule
G2212 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 |
|---|---|---|---|---|---|---|
| TexasOccupational therapist · Texas Deaf-Blind with Multiple Disabilities (DBMD) waiver | $79.84since 2024-09-01 | hour | $79.84 | Paid by the state, outside plans | — | HHSC PFD DBMD payment rates (09-2024-dbm |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $47.89since 2026-07-01 | 15 min | $191.56 | Not classified | — | Montana Healthcare Programs fee schedule |
| OhioAgency provider · Ohio Medicaid (fee-for-service) | $42.38since 2024-01-01 | Additional 15 Minutes | — | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service) | $37.17since 2026-07-01 | 15 min | $148.68 | Not classified | — | ND Medicaid Professional (General) Servi |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $33.75since 2021-01-01 | 15 min | $135.00 | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $31.43since 2023-07-01 | 15 min | $125.72 | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $30.94since 2026-07-01 | 15 min | $123.76 | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $30.49since 2026-06-01 | 15 min | $121.96 | Plans negotiate; applies out of network | — | Medicaid Fee-For-Service (FFS) Fee Sched |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $30.35since 2026-07-01 | 15 min | $121.40 | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service | $30.00since 2026-01-01 | 15 min | $120.00 | Not classified | — | REFRP00178CSV - Medical Fee Schedule Rep |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $29.52since 2026-01-01 | 15 min | $118.08 | Plans must pay at least this | — | Louisiana Medicaid Enhanced Professional |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $29.33since 2021-01-01 | 15 min | $117.32 | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $28.41since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $27.20since 2026-02-01 | 15 min | $108.80 | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal for people leaving jail or prison | $26.29since 2026-10-01 | 15 min | $105.16 | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $25.97since 2026-02-01 | 15 min | $103.88 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $24.99since 2021-01-01 | 15 min | $99.96 | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Medical- |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $23.52since 2026-01-01 | 15 min | $94.08 | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $21.73since 2026-01-01 | 15 min | $86.92 | Plans negotiate; applies out of network | — | MDHHS Child and Adolescent Health Center |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $20.26since 2026-07-01 | 15 min | $81.04 | Plans negotiate; applies out of network | — | HCA Mental health and psychology service |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $19.53since 2024-08-01 | 15 min | $78.12 | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $17.17since 2026-07-01 | 15 min | $68.68 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
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 G2212?
It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $29.43. Texas pays the most ($79.84 per hour) and New Jersey the least ($17.17 per 15 min).
Which state pays the highest Medicaid rate for G2212?
Texas, at $79.84 per hour ($79.84 per hour), effective 2024-09-01.
Do managed-care plans pay the same rate for G2212?
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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Track G2212 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.