A4318 Medicaid reimbursement rates by state
Female external urinary collection cup. 12 state Medicaid programs publish a fee-for-service rate for A4318 at the physician psychologist level. Rates run from $7.23 in Wisconsin to $10.26 in Arizona, with a median of $7.46.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 12
- Median rate
- $7.46per day
- Highest
- $10.26Arizona
- Medicare (non-facility)
- —not on the physician fee schedule
A4318 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $10.26since 2026-10-01 | day | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Durable |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $9.08since 2026-04-01 | day | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $9.08since 2026-05-13 | day | — | Not classified | — | Arkansas Medicaid Home Health Fee Schedu |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $8.60since 2026-04-01 | day | — | Plans negotiate; applies out of network | — | HCA Medical equipment and supplies fee s |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $7.63since 2026-04-01 | day | — | Not classified | — | CMAP fee schedule: 10/01/2026 MEDS - Med |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $7.57since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $7.35since 2026-04-01 | day | — | Not classified | — | Vermont Medicaid Fee Schedule - DME Code |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $7.31since 2026-04-01 | day | — | Plans negotiate; applies out of network | — | Administrative Bulletin 26-17: 101 CMR 3 |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $7.31since 2026-04-01 | day | — | Not classified | — | Maryland Medicaid DME/DMS/Oxygen, Prosth |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $7.31since 2026-04-01 | day | — | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $7.26since 2026-04-01 | day | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $7.23since 2026-04-01 | day | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Supplies |
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 A4318?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $7.46 per day. Arizona pays the most ($10.26 per day) and Wisconsin the least ($7.23 per day).
Which state pays the highest Medicaid rate for A4318?
Arizona, at $10.26 per day, effective 2026-10-01.
Do managed-care plans pay the same rate for A4318?
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.