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V5362 Medicaid reimbursement rates by state

Speech screening. 6 state Medicaid programs publish a fee-for-service rate for V5362 at the agency level. Rates run from $15.42 in Iowa to $40.00 in Alaska, with a median of $24.62.

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

States publishing
6
Median rate
$24.62units vary by state
Highest
$40.00Alaska
Medicare (non-facility)
—not on the physician fee schedule

V5362 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
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$40.00since 2025-07-01——Not classified—Alaska Medicaid Therapy Fee Schedule SFY
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$34.89since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$31.48since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$17.76since 2023-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$16.00since 2024-01-01——Plans negotiate; applies out of network—DMAP 2024 Physician Fee Schedule
IowaAgency provider · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$15.42since 2012-06-11——Paid by the state, outside plans—Iowa Medicaid fee schedule #56 LOCAL EDU

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 V5362?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $24.62. Alaska pays the most ($40.00) and Iowa the least ($15.42).

Which state pays the highest Medicaid rate for V5362?

Alaska, at $40.00, effective 2025-07-01.

Do managed-care plans pay the same rate for V5362?

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 V5362 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state