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Oklahoma Medicaid reimbursement rates

29,954 current fee-for-service and managed-care rates from Oklahoma Medicaid, across 107 services and 11 programs, normalized by code, provider level and unit. Each links to one of 38 official source documents.

Last retrieved 2026-10-05. History back to 2010-07-01.

Current rates
29,954
Services
107
Programs
11
Lines with a plan rule
18of 21 service lines

By industry

Oklahoma rates by service

The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.

ServiceLineMedian rateUnitPer hourVariants
ABA assessment by a behavior analystABA / autism services$23.5515 min$94.202
ABA parent and caregiver trainingABA / autism services$23.5515 min$94.202
ABA therapy with plan changes by an analystABA / autism services$23.5515 min$94.202
One-on-one ABA therapy by a technicianABA / autism services$17.3515 min$69.402
Assertive Community Treatment (ACT) teamBehavioral health$38.5315 min$154.126
Behavioral health aideBehavioral health$7.7715 min$31.083
Behavioral health prevention educationBehavioral health$30.07encounter—2
Behavioral health services (fee schedule)Behavioral health$12.5030 min$49.8046
Crisis intervention (behavioral health)Behavioral health$22.0015 min$88.0018
Crisis stabilization center visitBehavioral health$19.76unit$19.508
Family support (behavioral health)Behavioral health$11.7015 min$46.809
Medically supervised inpatient withdrawal (per day)Behavioral health$300.00day—4
Medication administration (behavioral health)Behavioral health$20.24visit—2
Medication training and supportBehavioral health$27.4915 min$109.9610
Mental health assessment (non-physician)Behavioral health$90.41encounter—34
Mental health service plan developmentBehavioral health$82.30encounter—27
Mobile and telephone crisis responseBehavioral health$90.39hour$125.7240
Outpatient psychotherapy and diagnostic evaluationBehavioral health$21.32visit$76.12143
Peer support (behavioral health)Behavioral health$11.7015 min$46.8017
Psychiatric partial hospitalizationBehavioral health$180.00day—3
Psychiatric residential treatment (daily)Behavioral health$336.57——3
Psychoeducational servicesBehavioral health$21.3215 min$85.282
Psychological and developmental testingBehavioral health$53.41hour$73.1888
Psychosocial rehabilitationBehavioral health$5.7115 min$22.8435
Skills training and developmentBehavioral health$4.2215 min$16.8810
SUD residential treatment (per day)Behavioral health$140.00day—26
Supervised living or host home (adults with mental illness)Behavioral health$14.00day—3
Supported employment (behavioral health)Behavioral health$420.0015 min$16.8810
Dental servicesDental$198.18——579
Durable medical equipmentEquipment & supplies$123.84—$40.281996
Enteral and parenteral nutritionEquipment & supplies$13.28——84
Medical suppliesEquipment & supplies$7.83——820
Orthotics and prostheticsEquipment & supplies$325.75—$78.801694
Adult day health (medical model)Other home & community services$11.37day$11.447
Adult day servicesOther home & community services$6.6015 min$11.443
Assisted living / alternative living servicesOther home & community services$82.64day—7
Case management / support coordinationOther home & community services$16.3815 min$65.52143
HCBS provider incentive paymentOther home & community services$687.50unit—1
Home-delivered mealsOther home & community services$6.44meal—3
Nursing assessmentOther home & community services$21.4515 min$85.805
Other waiver goods and servicesOther home & community services$1.30year—1
Respite care (daily)Other home & community services$169.46day—27
Respite care (hourly)Other home & community services$5.6515 min$22.586
Home health nurse visit (RN or LPN)Home health$21.4515 min$82.9411
Hospice continuous home care (hourly)Hospice$1,726.83——1
Hospice end-of-life visit add-on (per hour)Hospice$71.95——1
Hospice general inpatient care (daily)Hospice$1,231.51——1
Hospice inpatient respite (daily)Hospice$574.66——1
Hospice routine home care (daily)Hospice$211.61——2
Inpatient DRG pricing input (outlier, cost ratio, stay)Hospital inpatient$0.2162——548
Inpatient DRG relative weightHospital inpatient$1.32——792
Inpatient hospital stay (DRG base rate)Hospital inpatient$5,880.87——551
Inpatient psychiatric stay (per day)Hospital inpatient$367.42——3
Inpatient rate add-on (education, wage, directed payment)Hospital inpatient$110.09——3
Outpatient hospital services (fee schedule)Hospital outpatient$2,946.45——3169
Surgery center facility fee (per procedure)Hospital outpatient$1,464.86——2803
Day habilitation / day program (IDD)IDD services$33.31day—1
ICF/IID stay (daily rate)IDD services$193.73——2
ICF/IID supplemental daily paymentIDD services$5.69——188
In-home and community living supports (IDD)IDD services$6.5815 min$26.324
Intensive behavioral residential supportsIDD services$1,046.16day—2
Prevocational servicesIDD services$19.04hour$19.047
Remote supports (technology-based supervision)IDD services$2.8015 min$11.204
Residential habilitation / group home supportsIDD services$88.66day—25
Shared living / host home / family modelIDD services$138.00day—10
Supported employment (job coaching)IDD services$8.5915 min$23.7613
Supported employment follow-alongIDD services$36.45day—1
Clinical lab testsLab & pathology$17.95——1716
Nursing home daily add-on (ventilator, trach, insurance)Nursing facility$144.79——3
Nursing home daily rate component (facility-specific)Nursing facility$60.10——285
Nursing home stay (daily rate)Nursing facility$246.26——285
Nursing home ventilator care (daily rate)Nursing facility$432.90——283
Specialty nursing home daily rate (pediatric or IDD class)Nursing facility$391.05——284
Managed care capitation rateOther$376.16member month—676
School-based Medicaid service (billed by a school district)Other$3.6115 min$14.441
Home health aide or nurse aide care (hourly)Personal care & attendant$6.5815 min$26.321
Homemaker / housekeeping helpPersonal care & attendant$6.2515 min$25.001
Personal care / attendant care (hourly)Personal care & attendant$6.5815 min$26.3213
Physician-administered drugs (J-codes)Pharmacy$10.89——996
Private duty nursing (hourly shifts)Private duty nursing$6.1215 min$24.462
Waiver nursing (RN or LPN, by the 15 minutes)Private duty nursing$11.0015 min$44.003
Anesthesia conversion factorPhysician & professional$37.75——272
Physician and practitioner services (fee schedule)Physician & professional$327.29—$64.369028
Primary care care-management fee (per member per month)Physician & professional$5.73——9
Imaging and radiologyRadiology$68.81——1762
Cognitive rehabilitation therapyTherapy (PT/OT/speech)$18.6615 min$74.624
Nutrition counseling (dietitian)Therapy (PT/OT/speech)$25.9015 min$103.604
Occupational therapyTherapy (PT/OT/speech)$26.0015 min$104.005
Occupational therapy evaluationTherapy (PT/OT/speech)$89.18——4
Orthotic and prosthetic fitting and trainingTherapy (PT/OT/speech)$40.1815 min$160.723
Physical therapyTherapy (PT/OT/speech)$26.0015 min$104.005
Physical therapy evaluationTherapy (PT/OT/speech)$86.94——4
Respiratory therapy at homeTherapy (PT/OT/speech)$18.6015 min$74.402
Speech-generating device evaluationTherapy (PT/OT/speech)$108.37——1
Speech-generating device therapyTherapy (PT/OT/speech)$90.72——1
Speech-language evaluationTherapy (PT/OT/speech)$109.37——4
Speech-language therapyTherapy (PT/OT/speech)$24.43—$92.123
Swallowing and feeding evaluationTherapy (PT/OT/speech)$63.94——2
Swallowing and feeding therapyTherapy (PT/OT/speech)$74.82——1
Air ambulance transportTransportation$4,175.67——4
Ambulance mileageTransportation$10.96mile—3
Ground ambulance transportTransportation$179.08——15
Non-emergency medical transportation (NEMT)Transportation$145.13——1
Staff mileage add-onTransportation$16.3815 min$65.5211
Waiver transportation (to community activities)Transportation$1.86mile—5
Eyeglasses and contact lensesVision & hearing$17.31——150
Hearing aids and hearing servicesVision & hearing$117.04——26

Most-compared billing codes in Oklahoma

Where Oklahoma ranks among states for codes published widely. Rank 1 = highest rate.

CodeServiceOklahomaAll-state medianRank
10005Physician and practitioner services (fee schedule)$114.73$88.1911 of 50
10006Physician and practitioner services (fee schedule)$53.15$46.2312 of 50
10007Physician and practitioner services (fee schedule)$292.84$203.958 of 50
10008Physician and practitioner services (fee schedule)$121.44$95.0916 of 50
10009Physician and practitioner services (fee schedule)$351.43$276.5516 of 50
10010Physician and practitioner services (fee schedule)$201.23$157.4416 of 50
10021Physician and practitioner services (fee schedule)$87.18$73.9113 of 50
10030Physician and practitioner services (fee schedule)$526.86$401.1214 of 50
10060Physician and practitioner services (fee schedule)$111.03$88.7411 of 50
10061Physician and practitioner services (fee schedule)$190.84$153.3010 of 50
10080Physician and practitioner services (fee schedule)$228.63$129.479 of 50
10081Physician and practitioner services (fee schedule)$324.23$200.518 of 50
10120Physician and practitioner services (fee schedule)$135.01$98.419 of 50
10121Physician and practitioner services (fee schedule)$237.68$171.229 of 50
10140Physician and practitioner services (fee schedule)$150.17$109.799 of 50
10160Physician and practitioner services (fee schedule)$113.53$86.109 of 50
10180Physician and practitioner services (fee schedule)$246.69$182.529 of 50
11000Physician and practitioner services (fee schedule)$51.22$38.0511 of 50
11001Physician and practitioner services (fee schedule)$23.48$18.3412 of 50
11004Physician and practitioner services (fee schedule)$449.52$437.2421 of 50
11005Physician and practitioner services (fee schedule)$613.14$594.3220 of 50
11006Physician and practitioner services (fee schedule)$554.18$545.2223 of 50
11008Physician and practitioner services (fee schedule)$216.22$211.9422 of 50
11010Physician and practitioner services (fee schedule)$403.34$286.7111 of 50
11011Physician and practitioner services (fee schedule)$462.31$326.179 of 50
11012Physician and practitioner services (fee schedule)$591.81$442.7110 of 50
11042Physician and practitioner services (fee schedule)$113.68$84.5510 of 50
11043Physician and practitioner services (fee schedule)$207.51$167.8910 of 50
11044Physician and practitioner services (fee schedule)$279.16$227.0211 of 50
11055Physician and practitioner services (fee schedule)$59.68$40.2411 of 50
11056Physician and practitioner services (fee schedule)$69.36$47.3510 of 50
11057Physician and practitioner services (fee schedule)$76.21$52.5311 of 50
11102Physician and practitioner services (fee schedule)$81.80$71.2815 of 50
11103Physician and practitioner services (fee schedule)$41.87$36.8315 of 50
11104Physician and practitioner services (fee schedule)$103.76$84.9315 of 50
11105Physician and practitioner services (fee schedule)$51.77$42.8014 of 50
11106Physician and practitioner services (fee schedule)$129.35$101.3614 of 50
11107Physician and practitioner services (fee schedule)$60.76$50.8214 of 50
11300Physician and practitioner services (fee schedule)$82.47$55.5111 of 50
11301Physician and practitioner services (fee schedule)$99.84$67.4311 of 50

Managed care in Oklahoma

5 plans on record, 0 state-directed payment records, 1,511 published capitation cells.

Who sets the rate, line by line →

Recent rate changes and notices

Frequently asked questions

Where does Oklahoma publish its Medicaid fee schedules?

Oklahoma publishes rates across 38 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.

How many Medicaid rates does Oklahoma publish?

29,954 rates are current across 107 services and 11 programs, with 107,954 versions on record since 2010-07-01.

Do Oklahoma Medicaid managed-care plans pay the fee schedule?

For 18 of 21 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.

Other states

Your Oklahoma rate cardYour codes, what Oklahoma pays, what plans must pay, and every change in 2026.
Medicaid rates by state