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S9446 Medicaid reimbursement rates by state

Patient education, not otherwise classified. 7 state Medicaid programs publish a fee-for-service rate for S9446 at the physician psychologist level. Rates run from $6.00 in Virginia to $536.88 in New Mexico, with a median of $7.82.

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

States publishing
7
Median rate
$7.82units vary by state
Highest
$536.88New Mexico
Medicare (non-facility)
—not on the physician fee schedule

S9446 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
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Developmental Disabilities 1915(c) Waiver (NM.0173)$536.88since 2026-07-01Each—Paid by the state, outside plans—Developmental Disabilities Waiver Fee Sc
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$29.30⚠ over 3× mediansince 2008-01-01——Not classified—CMAP fee schedule: Clinic - Rehabilitati
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$15.15since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$7.82since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$7.36since 2024-01-01per session—Plans negotiate; applies out of network—HCA Specialized mental health fee schedu
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$6.00since 2013-06-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$6.00since 2003-06-20——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv

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 S9446?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $7.82. New Mexico pays the most ($536.88 per Each) and Virginia the least ($6.00).

Which state pays the highest Medicaid rate for S9446?

New Mexico, at $536.88 per Each, effective 2026-07-01.

Do managed-care plans pay the same rate for S9446?

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 Other home & community services codes

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