S0209 Medicaid reimbursement rates by state
Emergency department APG base rate. 11 state Medicaid programs publish a fee-for-service rate for S0209. Rates run from $0.42 in Delaware to $3.00 in New York, with a median of $1.25.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $1.25units vary by state
- Highest
- $3.00New York
- Medicare (non-facility)
- —not on the physician fee schedule
S0209 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 |
|---|---|---|---|---|---|---|
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker) | $3.00since 2024-08-01 | mile | — | Paid by the state, outside plans | — | eMedNY NYS Medicaid Transportation Fee S |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $2.61since 2026-07-01 | per whole mile | — | Not classified | — | South Dakota Medicaid Transportation Ser |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $1.85since 2026-07-01 | mile | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $1.80since 2026-07-01 | mile | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $1.30since 2024-01-01 | mile | — | Plans negotiate; applies out of network | — | Appendix to OAC 5160-15-28 (final filed |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $1.25since 2003-01-01 | mile | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $1.19since 2004-10-01 | mile | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $1.12since 2022-01-01 | mile | — | Paid by the state, outside plans | — | ForwardHealth max fee schedule: Transpor |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $1.08since 2021-07-01 | mile | — | Not classified | — | Health First Colorado Physician Fee Sche |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS MCO capped fee schedule (state-published schedule for managed-care reference; not shown to be binding) | $0.81since 2026-10-01 | mile | — | Suggested schedule for plans | — | AHCCCS FFS Ground Non-Emergency Medical |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $0.42since 2024-01-01 | mile | — | Plans negotiate; applies out of network | — | DMAP 2024 Physician Fee Schedule |
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 S0209?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $1.25. New York pays the most ($3.00 per mile) and Delaware the least ($0.42 per mile).
Which state pays the highest Medicaid rate for S0209?
New York, at $3.00 per mile, effective 2024-08-01.
Do managed-care plans pay the same rate for S0209?
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.