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S9470 Medicaid reimbursement rates by state

Nutritional counseling, dietitian visit. 14 state Medicaid programs publish a fee-for-service rate for S9470 at the dietitian level. Rates run from $12.08 in California to $80.63 in Minnesota, with a median of $20.00.

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

States publishing
14
Median rate
$20.00units vary by state
Highest
$80.63Minnesota
Medicare (non-facility)
—not on the physician fee schedule

S9470 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
MinnesotaDietitian / nutritionist · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$80.63⚠ over 3× mediansince 2015-07-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ArizonaDietitian / nutritionist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$55.43since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$47.29since 2009-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
TexasRegistered nurse (RN) · Texas Medicaid (fee-for-service, TMHP)$36.31since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Thste
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$35.00since 2026-01-01——Paid by the state, outside plans—HCA Maternity support services/infant ca
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$26.62since 2003-10-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
ConnecticutDietitian / nutritionist · Connecticut Autism Waiver (DDS-operated 1915(c))$20.00since 2023-01-01——Not classified—CMAP fee schedule: Autism Waiver Service
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$20.00since 2002-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$17.77since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #50 NURSE PRA
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$15.18since 2013-02-20——Plans must pay at least this—Louisiana Medicaid Office of Public Heal
VirginiaDietitian / nutritionist · Virginia Medicaid (fee-for-service, DMAS)$15.00since 2019-01-01——Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c))$14.83since 2022-07-01——Paid by the state, outside plans—MO HealthNet fee schedule: Community Sup
PennsylvaniaDietitian / nutritionist · Pennsylvania OBRA Waiver (adults with developmental physical disabilities)$13.77since 2026-07-0115 min$55.08Not classified—OLTL Home and Community Based Waiver Ser
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal school-based services (Local Educational Agency)$12.08since 2026-10-01——Paid by the state, outside plans—Medi-Cal Rates (Rates files zip: rates_d

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 S9470?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $20.00. Minnesota pays the most ($80.63) and California the least ($12.08).

Which state pays the highest Medicaid rate for S9470?

Minnesota, at $80.63, effective 2015-07-01.

Do managed-care plans pay the same rate for S9470?

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 Therapy (PT/OT/speech) codes

Track S9470 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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