H1000 Medicaid reimbursement rates by state
Prenatal care, at-risk assessment. 15 state Medicaid programs publish a fee-for-service rate for H1000 at the physician psychologist level. Rates run from $8.56 in Missouri to $210.33 in California, with a median of $40.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 15
- Median rate
- $40.00units vary by state
- Highest
- $210.33California
- Medicare (non-facility)
- —not on the physician fee schedule
H1000 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 |
|---|---|---|---|---|---|---|
| CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Drug Medi-Cal Organized Delivery System (DHCS county fee schedule / interim rates) | $210.33⚠ over 3× mediansince 2026-07-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Coordinated Health Network (primary care case management entities; payments made fee-for-service by the Alabama Medicaid Agency) | $150.00⚠ over 3× mediansince 2024-10-01 | — | — | Not classified | — | ALERT 11/12/2025 'Reminder - Maternity B |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $113.44since 2026-07-01 | Per Assessment | — | Not classified | — | July 2026 Prenatal Plus and Special Conn |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $94.49since 2023-10-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Maternal Infant Health Program, Oc |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $90.80since 2023-02-01 | — | — | Paid by the state, outside plans | — | ForwardHealth max fee schedule: Pn/Chld |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $72.60since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Part II Policies and Procedures for Peri |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $45.00since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $40.00since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Licensed Midwife Fee Schedule (2026-01-0 |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $40.00since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $38.76since 2018-09-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $28.10since 2025-07-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $18.00since 2002-01-01 | — | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $14.60since 2010-02-01 | — | — | Plans negotiate; applies out of network | — | HFS Practitioner Fee Schedule (effective |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $12.50since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $8.56since 2019-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Nurse Midwife |
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 H1000?
It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $40.00. California pays the most ($210.33) and Missouri the least ($8.56).
Which state pays the highest Medicaid rate for H1000?
California, at $210.33, effective 2026-07-01.
Do managed-care plans pay the same rate for H1000?
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.