T2011 Medicaid reimbursement rates by state
Preadmission screening and resident review. 7 state Medicaid programs publish a fee-for-service rate for T2011 at the physician psychologist level. Rates run from $7.70 in Vermont to $643.76 in Oregon, with a median of $318.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $318.00units vary by state
- Highest
- $643.76Oregon
- Medicare (non-facility)
- —not on the physician fee schedule
T2011 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 |
|---|---|---|---|---|---|---|
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $643.76since 2019-10-01 | unit | — | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana nursing facility pre-admission screening (PASRR) | $476.16since 2026-01-01 | unit | — | Not classified | — | IHCP Professional Fee Schedule (Last Upd |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $400.00since 2012-09-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $318.00since 2014-07-01 | — | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $77.29since 2013-07-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #29 PSYCHOLOG |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Developmental Disabilities 1915(c) Waiver (NM.0173) | $10.22since 2026-07-01 | 15 min | $40.88 | Paid by the state, outside plans | — | Developmental Disabilities Waiver Fee Sc |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $7.70since 2004-01-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
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 T2011?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $318.00. Oregon pays the most ($643.76 per unit) and Vermont the least ($7.70).
Which state pays the highest Medicaid rate for T2011?
Oregon, at $643.76 per unit, effective 2019-10-01.
Do managed-care plans pay the same rate for T2011?
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.