G9001 Medicaid reimbursement rates by state
Coordinated care fee, initial rate. 9 state Medicaid programs publish a fee-for-service rate for G9001 at the agency level. Rates run from $20.39 in Maine to $1,700.00 in Illinois, with a median of $118.74.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 9
- Median rate
- $118.74units vary by state
- Highest
- $1,700.00Illinois
- Medicare (non-facility)
- —not on the physician fee schedule
G9001 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 |
|---|---|---|---|---|---|---|
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $1,700.00since 2024-08-01 | month | — | Plans negotiate; applies out of network | — | HFS Community Based Behavioral Services |
| District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service | $1,000.00⚠ over 3× mediansince 2003-06-01 | — | — | Not classified | — | REFRP00178CSV - Medical Fee Schedule Rep |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Rare and Expensive Case Management (REM) case management | $500.79since 2024-01-01 | — | — | Not classified | — | REM Case Management Program Rates (Payme |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal for people leaving jail or prison | $256.27since 2026-10-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
| IdahoAgency provider · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $118.74since 2026-07-01 | visit | — | Not classified | — | Aged and Disabled Waiver Services |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $95.60since 2024-07-01 | — | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $25.00since 2003-06-20 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $24.59since 2009-01-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $20.39since 2026-01-01 | 15 min | $81.56 | Not classified | — | MaineCare Section 12 Consumer Directed A |
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 G9001?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $118.74. Illinois pays the most ($1,700.00 per month) and Maine the least ($20.39 per 15 min).
Which state pays the highest Medicaid rate for G9001?
Illinois, at $1,700.00 per month, effective 2024-08-01.
Do managed-care plans pay the same rate for G9001?
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.