S9981 Medicaid reimbursement rates by state
Medical records copying fee, administrative. 5 state Medicaid programs publish a fee-for-service rate for S9981. Rates run from $5.00 in West Virginia to $800.00 in Minnesota, with a median of $11.20.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $11.20units vary by state
- Highest
- $800.00Minnesota
- Medicare (non-facility)
- —not on the physician fee schedule
S9981 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 |
|---|---|---|---|---|---|---|
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Brain Injury (BI) waiver | $800.00since 2026-01-01 | Decremental | — | Paid by the state, outside plans | — | Long-Term Services and Supports Service |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $27.94since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | OHA Administrative Examinations and Repo |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $11.20since 2023-04-01 | — | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid disability determination exams (Medical Review Team) | $10.00since 2002-07-01 | unit | — | Not classified | — | IHCP Professional Fee Schedule (Last Upd |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $5.00since 2026-04-01 | — | — | Plans must pay at least this | — | Fee Schedule - Ancillary - Behavioral He |
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 S9981?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $11.20. Minnesota pays the most ($800.00 per Decremental) and West Virginia the least ($5.00).
Which state pays the highest Medicaid rate for S9981?
Minnesota, at $800.00 per Decremental, effective 2026-01-01.
Do managed-care plans pay the same rate for S9981?
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.