G9007 Medicaid reimbursement rates by state
Coordinated care fee, scheduled team conference. 5 state Medicaid programs publish a fee-for-service rate for G9007 at the case manager level. Rates run from $7.01 in Maine to $75.00 in Illinois, with a median of $12.17.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $12.17units vary by state
- Highest
- $75.00Illinois
- Medicare (non-facility)
- —not on the physician fee schedule
G9007 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) | $75.00since 2022-12-01 | Event | — | Plans negotiate; applies out of network | — | HFS Community Based Behavioral Services |
| IdahoCase manager / support coordinator · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $20.97since 2026-07-01 | 15 min | $83.88 | Not classified | — | Adult Developmental Disabilities Waiver |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $12.17since 2017-07-01 | — | — | Not classified | — | SCDHHS Physician Assistant/Nurse Practit |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $8.25since 2024-02-01 | 15 min | $33.00 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare Home and Community Based Services for Adults with Other Related Conditions (MBM Section 20 waiver, fee-for-service) | $7.01since 2026-01-01 | 15 min | $28.04 | Not classified | — | MaineCare Section 20 Other Related Condi |
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 G9007?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $12.17. Illinois pays the most ($75.00 per Event) and Maine the least ($7.01 per 15 min).
Which state pays the highest Medicaid rate for G9007?
Illinois, at $75.00 per Event, effective 2022-12-01.
Do managed-care plans pay the same rate for G9007?
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.