# Medicaid Fee Schedules by State: Where Each State Publishes Its Rates

> A state-by-state index of where every Medicaid program publishes its fee-for-service fee schedule, with the 2026 federal publication requirement, the managed-care caveat, and how Medicaid rates compare with Medicare.

- Published: 2026-09-23
- Author: RateBench
- Human page: https://ratebench.health/blog/medicaid-fee-schedules-by-state
- This document: https://ratebench.health/blog/medicaid-fee-schedules-by-state.md
- Product (sign up / app): https://app.ratebench.health

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Commercial payers keep their rates in contracts and, since 2022, in enormous
machine-readable files. Medicaid is the opposite: the rates are a public fee
schedule that the state sets and posts. The hard part is not access. It is
knowing which of a state's several schedules applies, and knowing when the
schedule is not what actually pays the claim.

## The short version

- **Every state publishes Medicaid fee-for-service rates** through its Medicaid agency. The table below links 45 states and DC to the official source; for the other 5 it says why there is no link rather than guess.
- **Publishing is now a federal requirement.** Under 42 CFR 447.203(b)(1), states had to post all fee-for-service rates publicly by July 1, 2026, and must keep them current.
- **Most Medicaid claims are not paid off that schedule.** Roughly three in four enrollees are in managed care plans, which pay under their own contracts — often written as a percentage of the state schedule.
- **Medicaid pays well under Medicare.** Around 71% of Medicare for common physician services in 2024, on the most recent national estimate, with wide variation by state.

## Why every state now has to publish

Medicaid rates have always been public in principle, because the state sets
them. In practice they were scattered: some behind portal logins, some in PDFs
buried in provider manuals, some only on request.

The Ensuring Access to Medicaid Services final rule (CMS-2442-F), published May
10, 2024, changed that. It added a payment-rate transparency requirement to
federal regulation at 42 CFR 447.203(b)(1). States must publish **all**
Medicaid fee-for-service payment rates on a website accessible to the general
public, with the first publication covering rates in effect as of July 1, 2026
and due by that date. They must show when the rates were last updated and post
any approved change within a month.

The same rule requires a **comparative payment rate analysis**: each state
compares its fee-for-service rates for a set of evaluation and management codes
in primary care, obstetric and gynecological care, and outpatient mental health
and substance use disorder services against Medicare's rates, and publishes the
comparison every two years. If you want to know how your state's Medicaid E/M
rates stack up against Medicare, your state agency is now obliged to tell you.

## The fee schedule is not what most Medicaid claims pay

This is the caveat that trips practices up.

About 75% of Medicaid beneficiaries are enrolled in comprehensive managed care
organizations, according to KFF's analysis of 2023 data. When you see one of
those patients, the claim goes to the managed care plan, and the plan pays you
under **its** contract with you — not directly off the state's fee schedule.

The state schedule still matters, for three reasons:

1. **Many managed care contracts are written as a percentage of it.** "100% of the state Medicaid fee schedule" is a common term. When the state changes its schedule, those contracts move with it.
2. **Some states set rate floors.** North Carolina, for example, publishes fee schedules that mark rates managed care plans must pay at no less than 100% of the fee-for-service rate.
3. **Fee-for-service members still exist** in every state — and in some populations and services, they are the majority.

A few states have almost no statewide physician fee schedule to speak of.
Tennessee's TennCare is delivered through managed care, so most physician rates
are set in each plan's contract; the state's schedules cover a narrower set of
services.

One more boundary worth knowing: the federal **Transparency in Coverage** rules
that force commercial payers to publish their negotiated rates apply to group
health plans and to issuers in the individual and group markets. Medicaid is not
part of them. Medicaid managed care rates therefore do not appear in the files
commercial payers publish — which is also why RateBench, which reads those
files, does not cover Medicaid.

## How Medicaid rates compare with Medicare

Nationally, Medicaid pays physicians substantially less than Medicare. The
long-running Medicaid-to-Medicare fee index put Medicaid at 72% of Medicare in
2019 across 27 common services — 67% for primary care. The most recent update,
by Urban Institute researchers in *Health Affairs* in May 2025, estimates
Medicaid physician fees at about **71% of Medicare in 2024**: roughly 69% for
office visits, 68% for hospital and emergency department visits, 87% for
obstetric care and 79% for other services.

Those are national averages across very different states. Some states pay at or
near Medicare for some services; others pay well under the average. Your own
state's comparative payment rate analysis, required under the 2024 rule, is the
most direct answer for E/M codes.

## How to read your state’s fee schedule

**Match the date of service, not the download date.** Most states publish
several schedules a year and some update monthly. The rate that applies is the
one in effect on the date of service.

**Pick the right schedule for your provider type.** States commonly publish
separate schedules for physicians, behavioral health, dental, therapy, DME and
facilities — and many pay non-physician practitioners a percentage of the
physician rate.

**Check the setting and the modifiers.** Office versus facility, professional
versus technical component, and modifier-specific rates all appear in most
physician schedules.

**Expect a licence screen.** CPT codes and descriptions are copyrighted by the
American Medical Association, so many states make you accept a CPT licence
agreement before the download or the lookup tool opens. That click is normal.

**A listed rate is not a promise of payment.** State agencies say so in plain
terms — Arizona's AHCCCS, for one, notes that a code and rate appearing on its
site is not an indication of coverage or a guarantee of payment. Coverage
limits, prior authorization and eligibility still apply.

## State-by-state: where each Medicaid fee schedule is published

Each link goes to the state Medicaid agency's own page, as checked in
September 2026. Where we couldn't confirm an address, the row says so instead
of guessing — no link beats a wrong one. State sites reorganise often; if a
link has moved, searching the agency name with "fee schedule" will find the
current page. The state name links to the
commercial payers we read in that state.

| State | Medicaid program | Where the fee schedule is published |
|---|---|---|
| [Alabama](/payers/state/al) | Alabama Medicaid | [Alabama Medicaid Agency](https://medicaid.alabama.gov/content/Gated/7.3G_Fee_Schedules.aspx) |
| [Alaska](/payers/state/ak) | Alaska Medicaid | [Alaska Department of Health](https://extranet-sp.dhss.alaska.gov/hcs/medicaidalaska/Provider/Sites/FeeSchedule.html) |
| [Arizona](/payers/state/az) | AHCCCS | [Arizona Health Care Cost Containment System](https://www.azahcccs.gov/PlansProviders/RatesAndBilling/FFS/Physicianrates/) |
| [Arkansas](/payers/state/ar) | Arkansas Medicaid | [Arkansas DHS, Division of Medical Services](https://humanservices.arkansas.gov/divisions-shared-services/medical-services/helpful-information-for-providers/fee-schedules/) |
| [California](/payers/state/ca) | Medi-Cal | [California DHCS](https://www.dhcs.ca.gov/services/medi-cal/Pages/Rates.aspx) |
| [Colorado](/payers/state/co) | Health First Colorado | [Colorado HCPF](https://hcpf.colorado.gov/provider-rates-fee-schedule) |
| [Connecticut](/payers/state/ct) | HUSKY Health | [Connecticut DSS](https://www.ctdssmap.com/CTPortal/Provider/Provider-Fee-Schedule-Download) |
| [Delaware](/payers/state/de) | Delaware Medicaid | Delaware Division of Medicaid and Medical Assistance — No address we could confirm — search the agency name with "fee schedule". |
| [District of Columbia](/payers/state/dc) | DC Medicaid | [DC Department of Health Care Finance](https://www.dc-medicaid.com/dcwebportal/nonsecure/feeScheduleDownload) |
| [Florida](/payers/state/fl) | Florida Medicaid | [Florida AHCA (FLMMIS)](https://portal.flmmis.com/FLPublic/Provider_ProviderServices/Provider_ProviderSupport/Provider_ProviderSupport_FeeSchedules/tabId/51/Default.aspx) |
| [Georgia](/payers/state/ga) | Georgia Medicaid | [Georgia DCH (GAMMIS portal)](https://www.mmis.georgia.gov/portal/PubAccess.Provider%20Information/Fee%20Schedules/tabId/19/Default.aspx) |
| [Hawaii](/payers/state/hi) | Med-QUEST | [Hawaii Department of Human Services](https://medquest.hawaii.gov/en/plans-providers/fee-for-service/fee-schedules.html) |
| [Idaho](/payers/state/id) | Idaho Medicaid | [Idaho Department of Health and Welfare](https://healthandwelfare.idaho.gov/providers/idaho-medicaid-providers/information-medicaid-providers) |
| [Illinois](/payers/state/il) | Illinois Medicaid | [Illinois HFS](https://hfs.illinois.gov/medicalproviders/medicaidreimbursement/practitioner.html) |
| [Indiana](/payers/state/in) | Indiana Health Coverage Programs | [Indiana FSSA](https://www.in.gov/medicaid/providers/business-transactions/billing-and-remittance/ihcp-fee-schedules/) |
| [Iowa](/payers/state/ia) | Iowa Medicaid | [Iowa HHS](https://hhs.iowa.gov/medicaid/provider-services/covered-services-rates-and-payments/fee-schedules) |
| [Kansas](/payers/state/ks) | KanCare / KMAP | [Kansas KDHE](https://portal.kmap-state-ks.us/PublicPage/ProviderPricing/FeeSchedules) |
| [Kentucky](/payers/state/ky) | Kentucky Medicaid | [Kentucky CHFS, Department for Medicaid Services](https://www.chfs.ky.gov/agencies/dms/Pages/feesrates.aspx) |
| [Louisiana](/payers/state/la) | Louisiana Medicaid | [Louisiana Department of Health](https://www.lamedicaid.com/provweb1/fee_schedules/feeschedulesindex.htm) |
| [Maine](/payers/state/me) | MaineCare | [Maine DHHS, Office of MaineCare Services](https://www.maine.gov/dhhs/oms/providers/code-rates) |
| [Maryland](/payers/state/md) | Maryland Medicaid | [Maryland Department of Health](https://health.maryland.gov/mmcp/pages/provider-information.aspx) |
| [Massachusetts](/payers/state/ma) | MassHealth | [Massachusetts EOHHS (101 CMR 317.00)](https://www.mass.gov/regulations/101-CMR-31700-rates-for-medicine-services) |
| [Michigan](/payers/state/mi) | Michigan Medicaid | [Michigan MDHHS](https://www.michigan.gov/mdhhs/doing-business/providers/providers/billingreimbursement/physicians-practitioners-medical-clinics) |
| [Minnesota](/payers/state/mn) | Minnesota Health Care Programs | [Minnesota DHS](https://mn.gov/dhs/partners-and-providers/policies-procedures/minnesota-health-care-programs/provider/billing/fee-schedule/) |
| [Mississippi](/payers/state/ms) | Mississippi Medicaid | [Mississippi Division of Medicaid](https://medicaid.ms.gov/providers/fee-schedules-and-rates/) |
| [Missouri](/payers/state/mo) | MO HealthNet | [Missouri Department of Social Services](https://dss.mo.gov/mhd/fee-schedules-rate-lists) |
| [Montana](/payers/state/mt) | Montana Healthcare Programs | [Montana DPHHS](https://medicaidprovider.mt.gov/providertype) |
| [Nebraska](/payers/state/ne) | Nebraska Medicaid | [Nebraska DHHS](https://dhhs.ne.gov/Pages/Medicaid-Provider-Rates-and-Fee-Schedules.aspx) |
| [Nevada](/payers/state/nv) | Nevada Medicaid | [Nevada DHCFP](https://dhcfp.nv.gov/Resources/Rates/FeeSchedules/) |
| [New Hampshire](/payers/state/nh) | New Hampshire Medicaid | New Hampshire DHHS — No address we could confirm — search the agency name with "fee schedule". |
| [New Jersey](/payers/state/nj) | NJ FamilyCare | [New Jersey DMAHS (NJMMIS rate information)](https://www.njmmis.com/RateInformation.aspx) |
| [New Mexico](/payers/state/nm) | New Mexico Medicaid | [New Mexico Health Care Authority](https://www.hca.nm.gov/providers/fee-schedules/) |
| [New York](/payers/state/ny) | New York Medicaid | [NYS DOH (eMedNY provider manuals)](https://www.emedny.org/ProviderManuals/Physician/index.aspx) |
| [North Carolina](/payers/state/nc) | NC Medicaid | [NCDHHS](https://medicaid.ncdhhs.gov/document-collection/fee-schedules) |
| [North Dakota](/payers/state/nd) | North Dakota Medicaid | [North Dakota HHS](https://www.hhs.nd.gov/healthcare/medicaid/provider/fee-schedules) |
| [Ohio](/payers/state/oh) | Ohio Medicaid | Ohio Department of Medicaid — Its fee schedule page moved and we could not confirm the new address. |
| [Oklahoma](/payers/state/ok) | SoonerCare | [Oklahoma Health Care Authority](https://oklahoma.gov/ohca/providers/claim-tools/fee-schedule.html) |
| [Oregon](/payers/state/or) | Oregon Health Plan | [Oregon Health Authority](https://www.oregon.gov/oha/hsd/ohp/pages/fee-schedule.aspx) |
| [Pennsylvania](/payers/state/pa) | Pennsylvania Medical Assistance | [Pennsylvania DHS](https://www.pa.gov/agencies/dhs/resources/for-providers/ma-for-providers/ma-fee-schedule) |
| [Rhode Island](/payers/state/ri) | Rhode Island Medicaid | Rhode Island EOHHS — No address we could confirm — search the agency name with "fee schedule". |
| [South Carolina](/payers/state/sc) | Healthy Connections | [South Carolina DHHS](https://www.scdhhs.gov/providers/fee-schedules) |
| [South Dakota](/payers/state/sd) | South Dakota Medicaid | [South Dakota DSS](https://dss.sd.gov/medicaid/providers/feeschedules/) |
| [Tennessee](/payers/state/tn) | TennCare | TennCare (Division of TennCare) — TennCare publishes no statewide physician schedule; rates are set in each managed care plan’s contract. |
| [Texas](/payers/state/tx) | Texas Medicaid | [Texas HHSC (TMHP fee schedules)](https://public.tmhp.com/FeeSchedules/Default.aspx) |
| [Utah](/payers/state/ut) | Utah Medicaid | [Utah DHHS](https://medicaid.utah.gov/stplan/physician/) |
| [Vermont](/payers/state/vt) | Vermont Medicaid | [Department of Vermont Health Access](https://dvha.vermont.gov/providers/codesfee-schedules) |
| [Virginia](/payers/state/va) | Virginia Medicaid | [Virginia DMAS](https://www.dmas.virginia.gov/for-providers/rates-and-rate-setting/procedure-fee-files-cpt-codes/) |
| [Washington](/payers/state/wa) | Apple Health | [Washington State Health Care Authority](https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/provider-billing-guides-and-fee-schedules) |
| [West Virginia](/payers/state/wv) | West Virginia Medicaid | [WV Bureau for Medical Services](https://bms.wv.gov/providers/west-virginia-medicaid-fee-schedules) |
| [Wisconsin](/payers/state/wi) | Wisconsin Medicaid (ForwardHealth) | [Wisconsin DHS](https://www.forwardhealth.wi.gov/WIPortal/Subsystem/publications/maxfeehome.aspx) |
| [Wyoming](/payers/state/wy) | Wyoming Medicaid | [Wyoming Department of Health](https://health.wyo.gov/healthcarefin/medicaid/fee-schedules/) |

## Where this leaves a practice

For Medicaid, the state publishes the reference rate and your managed care
contracts are usually pegged to it — so the work is reading your state's
schedule for the right date, provider type and setting, then checking your
managed care remits against the percentage your contract names.

For commercial payers the situation is reversed: there is no public schedule at
all, only each payer's own published file of what it negotiated with you. That
is the problem RateBench solves. If you want the commercial side of your
reimbursement laid out as clearly as your state's Medicaid schedule, see [how to
find your contracted rate for any CPT code](/blog/find-your-contracted-rate),
or look up a rate from a [commercial payer in your state](/payers).

---

*RateBench reads the negotiated-rate files commercial payers are required to
publish and returns the rate for your own NPI, by CPT code, with a link to the
source file. It does not cover Medicaid or Medicare. A single [rate lookup is
free](/#check); a [multi-payer fee schedule](/features/fee-schedule) is on a
[paid plan](/pricing).*

## Common questions

### Where do I find my state’s Medicaid fee schedule?

On your state Medicaid agency’s website. The table in this guide links to the official source for every state where we could confirm the address, and says why where we could not. Many states split it by provider type (physician, behavioral health, dental, DME) and some make you accept a CPT licence agreement before the download or lookup tool opens.

### Are states required to publish Medicaid rates?

Yes. The Ensuring Access to Medicaid Services final rule (CMS-2442-F, published May 10, 2024) added a payment-rate transparency requirement at 42 CFR 447.203(b)(1): states must publish all Medicaid fee-for-service payment rates on a public website, with the first publication due by July 1, 2026, and keep them current within a month of any approved change.

### Does the state fee schedule tell me what a Medicaid managed care plan pays?

Not directly. About three in four Medicaid enrollees are in comprehensive managed care plans, which pay providers under their own contracts. Many of those contracts are written as a percentage of the state fee schedule, which is why the state schedule still matters — but the rate on your remit is set by the plan’s contract with you.

### How do Medicaid rates compare with Medicare?

Lower, on average, and by a wide margin that varies by state. Urban Institute researchers writing in Health Affairs in 2025 put Medicaid physician fees at about 71% of Medicare in 2024 across a basket of common services, and about 69% for office visits.

### Can RateBench look up Medicaid rates?

No. RateBench reads the Transparency in Coverage files published by commercial payers, and those rules do not cover Medicaid. For Medicaid fee-for-service rates, the state agency’s own schedule — linked in this guide — is the source.

## Sources

1. Federal Register / CMS (May 10, 2024). "Medicaid Program; Ensuring Access to Medicaid Services (CMS-2442-F)". https://www.federalregister.gov/documents/2024/05/10/2024-08363/medicaid-program-ensuring-access-to-medicaid-services
2. eCFR (accessed September 2026). "42 CFR 447.203 — Documentation of access to care and service payment rates". https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-447/subpart-B/section-447.203
3. Medicaid.gov (accessed September 2026). "Documentation of Access to Care and Service Payment Rates". https://www.medicaid.gov/medicaid/access-care/documentation-of-access-care-and-service-payment-rates
4. KFF. "10 Things to Know About Medicaid Managed Care". https://www.kff.org/medicaid/10-things-to-know-about-medicaid-managed-care/
5. Health Affairs (Skopec, Pugazhendhi, Zuckerman — Urban Institute) (May 2025). "Updated Medicaid-To-Medicare Fee Index: Medicaid Physician Fees Still Lag Behind Medicare Physician Fees". https://www.healthaffairs.org/doi/10.1377/hlthaff.2024.01530
6. Health Affairs (Zuckerman, Skopec, Aarons) (2021). "Medicaid Physician Fees Remained Substantially Below Fees Paid By Medicare In 2019". https://www.healthaffairs.org/doi/10.1377/hlthaff.2020.00611
7. NC Medicaid (NCDHHS) (accessed September 2026). "Fee Schedules". https://medicaid.ncdhhs.gov/document-collection/fee-schedules
8. Arizona Health Care Cost Containment System. "Reimbursement and General Fee Schedule FAQs". https://www.azahcccs.gov/PlansProviders/RatesAndBilling/FFS/questions.html
9. Federal Register / U.S. Departments of the Treasury, Labor and HHS (November 12, 2020). "Transparency in Coverage, final rules (85 FR 72158)". https://www.federalregister.gov/documents/2020/11/12/2020-24591/transparency-in-coverage