G0237 Medicaid reimbursement rates by state
Therapeutic procedures to increase strength or endurance of.... 18 state Medicaid programs publish a fee-for-service rate for G0237 at the physician psychologist level. Rates run from $2.97 in Kansas to $24.75 in Arkansas, with a median of $10.25.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 18
- Median rate
- $10.25per 15 min
- Highest
- $24.75Arkansas
- Medicare (non-facility)
- $10.79–$18.002026 physician fee schedule
G0237 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 |
|---|---|---|---|---|---|---|
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $24.75since 2022-08-01 | 15 min | $99.00 | Not classified | — | Arkansas Medicaid Ventilator Equipment F |
| OklahomaRespiratory therapist · Oklahoma Medically Fragile 1915(c) waiver | $18.60since 2022-09-21 | 15 min | $74.40 | Paid by the state, outside plans | — | Reimbursement Rates for Services, Medica |
| MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service) | $17.84since 2026-07-01 | 15 min | $71.36 | Not classified | — | Montana Healthcare Programs fee schedule |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $17.00since 2016-07-01 | 15 min | $68.00 | Not classified | — | CMAP fee schedule: Special Services 7/1/ |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $13.70since 2026-07-01 | 15 min | $54.80 | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal school-based services (Local Educational Agency) | $12.08since 2026-10-01 | 15 min | $48.32 | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $10.92since 2011-09-01 | 15 min | $43.68 | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $10.62since 2026-01-01 | 15 min | $42.48 | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $10.30since 2026-01-01 | 15 min | $41.20 | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $10.20since 2025-01-01 | 15 min | $40.80 | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $9.87since 2026-07-01 | 15 min | $39.48 | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $9.77since 2026-02-01 | 15 min | $39.08 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $8.05since 2026-04-01 | 15 min | $32.20 | Plans negotiate; applies out of network | — | BMS RBRVS 2026 Effective 4/1/26 - 3/31/2 |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $7.43since 2023-07-01 | 15 min | $29.72 | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $7.03since 2024-04-01 | 15 min | $28.12 | Plans negotiate; applies out of network | — | HFS Practitioner Fee Schedule (effective |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $6.34since 2016-01-01 | 15 min | $25.36 | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $5.75since 2024-07-01 | 15 min | $23.00 | Plans negotiate; applies out of network | — | SCDHHS Nurse Midwives Fee Schedule (sche |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $2.97since 2009-12-18 | 15 min | $11.88 | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
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 G0237?
It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $10.25 per 15 min. Arkansas pays the most ($24.75 per 15 min) and Kansas the least ($2.97 per 15 min).
Which state pays the highest Medicaid rate for G0237?
Arkansas, at $24.75 per 15 min ($99.00 per hour), effective 2022-08-01.
Do managed-care plans pay the same rate for G0237?
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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Track G0237 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.