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Montana Medicaid therapy rates

Montana Medicaid pays $36.76 per 15 min ($147.04 an hour) for physical therapy delivered by a physical therapist, effective July 1, 2026, the 3rd highest of 49 states with comparable rates. Below: 5 more therapy rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.

Physical therapy
$36.76per 15 min · $147.04/hr
Rank among states
3 of 49+53.1% vs median
Physical therapist median wage
$43.97BLS May 2025
Montana minimum wage
$10.85

Montana therapy rates vs other states

Fee-for-service, like-for-like by provider level. Click a rate to open Montana's official fee schedule.

ServiceProvider levelCodeMT rateUnitPer hourRankMedian across statesLowestHighestStates
Physical therapyPhysical therapist97110$36.7615 min$147.043 of 49$96.04/hr$46.64$176.6849
Occupational therapyOccupational therapist97530$49.3015 min$197.203 of 48$110.60/hr$31.56$338.7248
Speech-language therapySpeech-language pathologist92507$65.55——12 of 38$63.01$19.57$142.1438
Physical therapy evaluationPhysical therapist97161$84.24——19 of 46$80.39$10.27$149.6546
Occupational therapy evaluationOccupational therapist97165$86.54——18 of 45$83.34$19.63$153.0245
Speech-language evaluationSpeech-language pathologist92521$114.71——7 of 45$90.36$22.93$173.2645

Physical therapy: where Montana ranks

States whose published unit can't be converted are left out of the ranking.

#StateRateUnitPer hourEffective
1Alaska$44.1715 min$176.682026-07-01
2New Mexico$41.4115 min$165.642025-01-01
3Montana$36.7615 min$147.042026-07-01
4Texas$33.7515 min$135.002017-09-01
5North Dakota$32.2915 min$129.162026-07-01
6Hawaii$30.7215 min$122.882026-06-01
7Utah$29.9315 min$119.722026-07-01
8Wyoming$28.7515 min$115.002026-07-01
9Delaware$28.3615 min$113.442026-01-01
10Tennessee$28.2515 min$113.002025-07-01
11Nevada$28.1915 min$112.762017-01-01
12Maryland$27.8515 min$111.402026-01-01
13South Dakota$27.8315 min$111.322026-07-01
14Nebraska$27.4215 min$109.682026-07-01
15Oklahoma$26.0015 min$104.002024-10-01
16District of Columbia$25.8815 min$103.522026-01-01
17Missouri$25.5615 min$102.242026-07-01
18Virginia$25.1715 min$100.682026-07-01
19New Hampshire$24.9515 min$99.802023-07-01
20Kansas$24.7915 min$99.162024-08-01
21Colorado$24.6515 min$98.602026-07-01
22Rhode Island$24.5815 min$98.322026-10-01
23Vermont$24.4715 min$97.882026-01-01
24Mississippi$24.3615 min$97.442026-07-01
25Idaho$24.0115 min$96.042026-07-01
26Oregon$23.4915 min$93.962026-02-01
27North Carolina$23.3715 min$93.482025-10-01
28Louisiana$23.0015 min$92.002025-11-18
29Massachusetts$22.6715 min$90.682025-06-06
30Iowa$22.6515 min$90.602020-05-01
31Connecticut$22.4615 min$89.842026-01-01
32Minnesota$22.3815 min$89.522026-02-01
33Arkansas$21.7615 min$87.042024-04-03
34Illinois$21.6315 min$86.522024-04-01
35Michigan$20.8715 min$83.482026-01-01
36Wisconsin$20.2915 min$81.162022-01-01
37Georgia$20.0715 min$80.282017-01-01
38Washington$19.8715 min$79.482026-10-01
39West Virginia$19.7615 min$79.042026-04-01
40Ohio$18.5015 min$74.002020-06-12
41Indiana$18.1215 min$72.482014-01-01
42New York$18.0515 min$72.202023-10-01
43Florida$17.9615 min$71.842026-07-01
44South Carolina$17.8215 min$71.282017-07-01
45Kentucky$17.5415 min$70.162026-01-01
46Pennsylvania$16.7515 min$67.002021-09-01
47New Jersey$14.7015 min$58.802026-07-01
48California$12.2215 min$48.882026-10-01
49Maine$11.6615 min$46.642026-01-01

What it costs to deliver in Montana

Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).

RoleMT medianUS medianvs US
Physical therapist$43.97$49.40-11.0%
Occupational therapist$42.79$48.24-11.3%
Speech-language pathologist$37.86$47.05-19.5%
Physical therapist assistant$30.12$32.88-8.4%
Occupational therapy assistant$35.00$34.76+0.7%

Recent Montana therapy rate changes

ChangeStatusChangeEffective
MAR Notice No. 2026-525.2 (adoption): Amendment of ARM 37.85.105, 37.87.102, 37.87.903, 37.87.1226, 37.87.1404, 37.87.1414, 37.87.1415, 37.87.1803, 37.106.1902, 37.106.1956, and 37.106.1961, pertaining to CSCT and HSS Rate Restructure and Service Provisionenacted—2026-08-22
July 1, 2026 Fee Schedule Updateseffective—2026-07-01
Proposed July 2026 Audiology (July 2026 Audiology Services Cover Sheet)proposed—2026-07-01
MAR Notice No. 2026-127.1 (proposal): Amendment of ARM 37.79.304, 37.79.326, and 37.85.105 pertaining to updating Medicaid and non-Medicaid provider rates, fee schedules, and effective datesproposed+3.4%2026-07-01
MSRP Reimbursement and Documentation Requirementseffective——
MAR Notice No. 2025-152.1 (proposal): Amendment of ARM 37.27.902, 37.85.104, 37.85.105, 37.85.106, 37.82.206, 37.86.1006, 37.86.3607, and 37.88.101 pertaining to updating Medicaid and non-Medicaid provider rates, fee schedules, and effective datesproposed+3.0%2025-07-01
MAR Notice No. 2026-525.1 (proposal): Amendment of ARM 37.85.105, 37.87.102, 37.87.903, 37.87.1226, 37.87.1404, 37.87.1414, 37.87.1415, 37.87.1803, 37.106.1902, 37.106.1956, and 37.106.1961, pertaining to CSCT and HSS Rate Restructure and Service Provisionproposed—2025-07-01
MAR Notice No. 37-1110 (proposal): amendment of ARM 37.27.902, 37.85.105, and 37.88.101 pertaining to updating Medicaid and non-Medicaid provider rates, fee schedules, and effective datesproposed—2025-01-01
Provider Rate Increases Systematic Adjustmentseffective—2023-09-08
Every variant, every version, every state

The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.

Open in workspaceAPI reference

Rates are taken from Montana's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.

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