G9919 Medicaid reimbursement rates by state
Screening performed and positive and provision of.... 5 state Medicaid programs publish a fee-for-service rate for G9919 at the physician psychologist level. Rates run from $13.49 in California to $50.00 in Missouri, with a median of $29.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $29.00units vary by state
- Highest
- $50.00Missouri
- Medicare (non-facility)
- —not on the physician fee schedule
G9919 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 |
|---|---|---|---|---|---|---|
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $50.00since 2024-05-08 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Nurse Midwife |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $35.00since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service) | $29.00since 2024-04-01 | unit | — | Plans negotiate; applies out of network | — | eMedNY Physician Fee Schedule Sect 2 (Me |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $29.00since 2023-02-01 | — | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal school-based services (Local Educational Agency) | $13.49since 2026-10-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
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 G9919?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $29.00. Missouri pays the most ($50.00) and California the least ($13.49).
Which state pays the highest Medicaid rate for G9919?
Missouri, at $50.00, effective 2024-05-08.
Do managed-care plans pay the same rate for G9919?
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.