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S0316 Medicaid reimbursement rate by state (2026)

Disease management program, follow-up/reassessment. Medicaid pays a median of $42.79 for S0316 across 5 states, from $14.09 in South Carolina to $170.00 in Michigan.

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

States publishing
5
National median
$42.79units vary by state
Lowest
$14.09South Carolina
Highest
$170.00Michigan

What does Medicaid pay for S0316?

5 state Medicaid programs publish a fee-for-service rate for S0316 at the physician psychologist level. The national median is $42.79 (units differ between states). Michigan pays the most, $170.00, and South Carolina the least, $14.09, a 12.1x spread.

S0316 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Michigan Source · since 2020-03-01$170.00——Plans negotiate; applies out of network—
2Kansas Source · since 2010-03-01$50.00——Plans must pay at least this—
3Missouri Source · since 2019-07-01$42.79——Plans must pay at least this—
See all 5 states for S0316 — start free

2 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track S0316 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for S0316?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $42.79. Michigan pays the most ($170.00) and South Carolina the least ($14.09).

Which state pays the highest Medicaid rate for S0316?

Michigan, at $170.00, effective 2020-03-01.

Do managed-care plans pay the same rate for S0316?

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 workspace shows the rule for each state, cited to the contract or statute.