G9880 Medicaid reimbursement rates by state
The mdpp beneficiary achieved at least 5% weight loss. 6 state Medicaid programs publish a fee-for-service rate for G9880. Rates run from $40.00 in New Jersey to $153.00 in Michigan, with a median of $121.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $121.00units vary by state
- Highest
- $153.00Michigan
- Medicare (non-facility)
- —not on the physician fee schedule
G9880 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 |
|---|---|---|---|---|---|---|
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $153.00since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Michigan Diabetes Prevention Progr |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $145.15since 2025-09-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $128.00since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $114.00since 2026-01-01 | — | — | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $100.00since 2021-08-01 | — | — | Plans negotiate; applies out of network | — | HFS Diabetes Prevention and Management F |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $40.00since 2025-01-01 | — | — | 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 G9880?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $121.00. Michigan pays the most ($153.00) and New Jersey the least ($40.00).
Which state pays the highest Medicaid rate for G9880?
Michigan, at $153.00, effective 2026-01-01.
Do managed-care plans pay the same rate for G9880?
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.