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V2025 Medicaid reimbursement rates by state

Deluxe frame. 10 state Medicaid programs publish a fee-for-service rate for V2025 at the physician psychologist level. Rates run from $7.08 in Florida to $155.44 in Connecticut, with a median of $65.73.

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

States publishing
10
Median rate
$65.73units vary by state
Highest
$155.44Connecticut
Medicare (non-facility)
—not on the physician fee schedule

V2025 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
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$155.44since 2008-07-01——Not classified—CMAP fee schedule: Optician/Eyeglasses A
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$136.54since 2020-08-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$83.06since 2024-09-01——Plans must pay at least this—Louisiana Medicaid Vision (Eyewear) Fee
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$74.11since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$68.25since 2020-07-01——Not classified—SCDHHS Pediatric Subspecialty and Neonat
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$63.20since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$41.82since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$41.63since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$7.35since 2025-09-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: State Pu
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$7.08since 2026-01-01——Plans negotiate; applies out of network—Visual Services Fee Schedule (AHCA Updat

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 V2025?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $65.73. Connecticut pays the most ($155.44) and Florida the least ($7.08).

Which state pays the highest Medicaid rate for V2025?

Connecticut, at $155.44, effective 2008-07-01.

Do managed-care plans pay the same rate for V2025?

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 Vision & hearing codes

Track V2025 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state