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Q4016 Medicaid reimbursement rates by state

Cast supplies, gauntlet cast. 12 state Medicaid programs publish a fee-for-service rate for Q4016 at the physician psychologist level. Rates run from $7.70 in Missouri to $19.15 in Arizona, with a median of $13.11.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
12
Median rate
$13.11units vary by state
Highest
$19.15Arizona
Medicare (non-facility)
—not on the physician fee schedule

Q4016 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$19.15since 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$16.91since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$16.91since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$16.58since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$13.81since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$13.26since 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$12.95since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$12.67since 2017-08-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$9.74since 2023-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$9.64since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$7.75since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$7.70since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Rehabilitatio

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 Q4016?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $13.11. Arizona pays the most ($19.15) and Missouri the least ($7.70).

Which state pays the highest Medicaid rate for Q4016?

Arizona, at $19.15, effective 2023-04-01.

Do managed-care plans pay the same rate for Q4016?

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.

Related Equipment & supplies codes

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