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Billing code G9007 · Behavioral health

G9007 Medicaid reimbursement rate by state (2026)

Coordinated care fee, scheduled team conference. Medicaid pays a median of $12.17 for G9007 across 5 states, from $7.01 in Maine to $75.00 in Illinois.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$12.17units vary by state
Lowest
$7.01Maine
Highest
$75.00Illinois
Median per hour
$33.003 time-based states
Answer

What does Medicaid pay for G9007?

5 state Medicaid programs publish a fee-for-service rate for G9007 at the case manager level. The national median is $12.17 (units differ between states). Illinois pays the most, $75.00 per Event, and Maine the least, $7.01 per 15 min, a 10.7x spread. Converted to an hour of service in the 3 states that bill it by time, the median is $33.00 per hour.

State ranking

G9007 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Illinois Source · since 2022-12-01$75.00Event—Plans negotiate; applies out of network—
2Idaho Source · since 2026-07-01$20.9715 min$83.88Not classified—
3South Carolina Source · since 2017-07-01$12.17——Not classified—
See all 5 states for G9007 — start free

2 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track G9007 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for G9007?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $12.17. Illinois pays the most ($75.00 per Event) and Maine the least ($7.01 per 15 min).

Which state pays the highest Medicaid rate for G9007?

Illinois, at $75.00 per Event, effective 2022-12-01.

Do managed-care plans pay the same rate for G9007?

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 workspace shows the rule for each state, cited to the contract or statute.