Occupational therapy: Medicaid rates by state
30 states publish a Medicaid rate for occupational therapy, compared at the therapist ot level. Per hour, rates range from — in Alabama to $156.36 in Illinois.
- States
- 30
- Median per hour
- $93.52
- Highest
- $156.36Illinois
- Lowest
- —Alabama
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | IllinoisOccupational therapist | $39.09 | 15 min | $156.36 | 2024-04-01 | Official source |
| 2 | VirginiaOccupational therapist | $37.93 | 15 min | $151.72 | 2026-07-01 | Official source |
| 3 | WashingtonOccupational therapist | $37.65 | 15 min | $150.60 | 2026-07-01 | Official source |
| 4 | TexasOccupational therapist | $33.75 | 15 min | $135.00 | 2017-09-01 | Official source |
| 5 | MissouriOccupational therapist | $31.84 | 15 min | $127.36 | 2022-07-01 | Official source |
| 6 | MarylandOccupational therapist | $31.76 | 15 min | $127.04 | 2026-01-01 | Official source |
| 7 | OklahomaOccupational therapist | $30.76 | 15 min | $123.04 | 2026-07-01 | Official source |
| 8 | ColoradoOccupational therapist | $29.76 | 15 min | $119.04 | 2026-07-01 | Official source |
| 9 | MassachusettsOccupational therapist | $28.65 | 15 min | $114.60 | 2025-06-06 | Official source |
| 10 | OregonOccupational therapist | $28.40 | 15 min | $113.60 | 2026-02-01 | Official source |
| 11 | NebraskaOccupational therapist | $27.42 | 15 min | $109.68 | 2026-07-01 | Official source |
| 12 | MinnesotaOccupational therapist | $27.27 | 15 min | $109.08 | 2026-02-01 | Official source |
| 13 | KansasOccupational therapist | $25.73 | 15 min | $102.92 | 2024-08-01 | Official source |
| 14 | ConnecticutOccupational therapist | $23.94 | 15 min | $95.76 | 2026-01-01 | Official source |
| 15 | North CarolinaOccupational therapist | $23.38 | 15 min | $93.52 | 2025-10-01 | Official source |
| 16 | ArkansasOccupational therapist | $23.20 | 15 min | $92.80 | 2025-03-26 | Official source |
| 17 | LouisianaOccupational therapist | $23.00 | 15 min | $92.00 | 2025-11-18 | Official source |
| 18 | South CarolinaOccupational therapist | $22.78 | 15 min | $91.12 | 2011-07-11 | Official source |
| 19 | MichiganOccupational therapist | $22.37 | 15 min | $89.48 | 2026-01-01 | Official source |
| 20 | IowaOccupational therapist | $21.42 | 15 min | $85.68 | 2021-04-01 | Official source |
| 21 | KentuckyOccupational therapist | $20.94 | 15 min | $83.76 | 2026-01-01 | Official source |
| 22 | OhioOccupational therapist | $20.29 | 15 min | $81.16 | 2024-01-01 | Official source |
| 23 | WisconsinOccupational therapist | $20.00 | 15 min | $80.00 | 2022-01-01 | Official source |
| 24 | GeorgiaOccupational therapist | $19.52 | 15 min | $78.08 | 2017-01-01 | Official source |
| 25 | IndianaOccupational therapist | $17.99 | 15 min | $71.96 | 2014-01-01 | Official source |
| 26 | FloridaOccupational therapist | $17.96 | 15 min | $71.84 | 2026-07-01 | Official source |
| 27 | CaliforniaOccupational therapist | $14.13 | 15 min | $56.52 | 2026-10-01 | Official source |
| 28 | PennsylvaniaOccupational therapist | $13.00 | 15 min | $52.00 | 2006-07-01 | Official source |
| 29 | New JerseyOccupational therapist | $7.89 | 15 min | $31.56 | 2024-07-01 | Official source |
| 30 | AlabamaOccupational therapist | $14.30 | 15 min | — | 2020-12-17 | Official source |
Frequently asked questions
Which state pays the most for occupational therapy?
Illinois: $39.09 per 15 min ($156.36 per hour).
What is the average Medicaid rate for occupational therapy?
Across 30 states the median is $93.52 per hour, comparing the same provider level in each state.
Other Therapy (PT/OT/speech) services
Speech-language therapy33 statesPhysical therapy33 statesOccupational therapy evaluation32 statesPhysical therapy evaluation32 statesSwallowing and feeding evaluation32 statesSpeech-language evaluation31 statesNutrition counseling (dietitian)30 statesSwallowing and feeding therapy30 statesSpeech-generating device therapy27 states
Occupational therapy in your statesRates, plan rules, labor costs and changes, with alerts.