S9445 Medicaid reimbursement rates by state
Patient education, not otherwise classified. 21 state Medicaid programs publish a fee-for-service rate for S9445 at the physician psychologist level. Rates run from $5.00 in Illinois to $170.57 in Maryland, with a median of $38.05.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 21
- Median rate
- $38.05units vary by state
- Highest
- $170.57Maryland
- Medicare (non-facility)
- —not on the physician fee schedule
S9445 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 |
|---|---|---|---|---|---|---|
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $170.57⚠ over 3× mediansince 2024-07-01 | — | — | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – PRP and Speci |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $100.00since 2024-04-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Child and Adolescent Health Center |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $100.00since 2023-10-01 | — | — | Plans must pay at least this | — | Provider Type 90 Doula (rate data as of |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $90.68since 2015-05-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #35 MATERNAL |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $75.00since 2024-10-01 | — | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Doula |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $69.69since 2026-01-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Professional Services |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $56.49since 2008-07-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado behavioral health services paid fee-for-service by HCPF (outside the RAE capitation) | $49.43since 2026-07-01 | — | — | Paid by the state, outside plans | — | July 2026 Outpatient Substance Abuse Fee |
| New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service) | $45.45since 2023-01-01 | unit | — | Plans negotiate; applies out of network | — | eMedNY Physician Fee Schedule Sect 2 (Me |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $41.75since 2025-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Outpa |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $38.05since 2022-10-01 | — | — | Plans negotiate; applies out of network | — | Copy of Schedule of Maximum Allw Pymt Ph |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $37.57since 2008-07-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Medical- |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $28.97since 2003-10-01 | — | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $28.69since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $23.64since 2026-07-01 | — | — | Paid by the state, outside plans | — | DMAP 2026 CSCRP Fee Schedule |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $20.00since 2013-06-01 | — | — | Not classified | — | SCDHHS Pediatric Subspecialty and Neonat |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $19.55since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $17.72since 2021-07-01 | — | — | Paid by the state, outside plans | — | HCA School-based health care services fe |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $11.05since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $5.94since 2024-01-01 | — | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $5.00since 2024-02-01 | — | — | Plans negotiate; applies out of network | — | HFS Doula Fee Schedule (effective 2024-0 |
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 S9445?
It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $38.05. Maryland pays the most ($170.57) and Illinois the least ($5.00).
Which state pays the highest Medicaid rate for S9445?
Maryland, at $170.57, effective 2024-07-01.
Do managed-care plans pay the same rate for S9445?
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.
Related Behavioral health codes
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Track S9445 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.