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E0636 Medicaid reimbursement rates by state

Multipositional patient support system. 19 state Medicaid programs publish a fee-for-service rate for E0636 at the nurse midwife level. Rates run from $2.63 in Kansas to $12,817.70 in Minnesota, with a median of $1,246.98.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
19
Median rate
$1,246.98units vary by state
Highest
$12,817.70Minnesota
Medicare (non-facility)
—not on the physician fee schedule

E0636 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$12,817.70⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$12,323.23⚠ over 3× mediansince 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$9,713.60⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$9,491.04⚠ over 3× mediansince 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$5,618.46⚠ over 3× mediansince 2018-04-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$3,643.94since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$1,426.30since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$1,358.34since 2024-01-01——Plans must pay at least this—DME Fee Schedule for Items that were For
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$1,281.77since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,246.98since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,190.53since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$1,161.06since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$1,159.70since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$1,157.61since 2024-11-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$966.11since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$843.65since 2004-01-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$811.79since 2026-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$72.77since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$2.63since 2003-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 E0636?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $1,246.98. Minnesota pays the most ($12,817.70) and Kansas the least ($2.63).

Which state pays the highest Medicaid rate for E0636?

Minnesota, at $12,817.70, effective 2026-01-01.

Do managed-care plans pay the same rate for E0636?

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.

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