Alabama Medicaid reimbursement rates
29,598 current fee-for-service and managed-care rates from Alabama Medicaid, across 100 services and 5 programs, normalized by code, provider level and unit. Each links to one of 45 official source documents. Alabama pays the highest rate of any state we cover for 10005, 10006, 10007.
Last retrieved 2026-10-05. History back to 1991-12-12.
- Current rates
- 29,598
- Services
- 100
- Programs
- 5
- Lines with a plan rule
- 0of 20 service lines
By industry
Applied behavior analysis (ABA)Alabama rates, labor costs and changesBehavioral healthAlabama rates, labor costs and changesHome healthAlabama rates, labor costs and changesHome care & personal careAlabama rates, labor costs and changesPrivate duty nursingAlabama rates, labor costs and changesSkilled nursing facilitiesAlabama rates, labor costs and changesHospiceAlabama rates, labor costs and changesIntellectual & developmental disabilitiesAlabama rates, labor costs and changesOutpatient therapy (PT, OT, speech)Alabama rates, labor costs and changes
Alabama rates by service
The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.
| Service | Line | Median rate | Unit | Per hour | Variants |
|---|---|---|---|---|---|
| ABA assessment by a behavior analyst | ABA / autism services | $25.00 | 15 min | $100.00 | 2 |
| ABA assessment support by a technician | ABA / autism services | $12.50 | 15 min | $50.00 | 2 |
| ABA assessment with 2+ technicians (severe behavior) | ABA / autism services | $30.00 | 15 min | $120.00 | 1 |
| ABA parent and caregiver training | ABA / autism services | $30.00 | 15 min | $120.00 | 2 |
| ABA therapy with 2+ technicians (severe behavior) | ABA / autism services | $20.00 | 15 min | $80.00 | 1 |
| ABA therapy with plan changes by an analyst | ABA / autism services | $15.00 | 15 min | $60.00 | 2 |
| Group ABA parent training (several families) | ABA / autism services | $2.50 | 15 min | $10.00 | 2 |
| Group ABA therapy led by a technician | ABA / autism services | $4.00 | 15 min | $16.00 | 2 |
| Group ABA therapy led by an analyst | ABA / autism services | $5.00 | 15 min | $20.00 | 2 |
| One-on-one ABA therapy by a technician | ABA / autism services | $10.00 | 15 min | $40.00 | 2 |
| Ambulatory withdrawal management (detox) | Behavioral health | $54.00 | encounter | — | 5 |
| Assertive Community Treatment (ACT) team | Behavioral health | $37.80 | day | — | 2 |
| Behavioral health nursing (RN/LPN) | Behavioral health | $40.92 | 15 min | $163.68 | 4 |
| Continuing day treatment for adults | Behavioral health | $21.00 | hour | $21.00 | 1 |
| Crisis intervention (behavioral health) | Behavioral health | $22.00 | 15 min | $88.00 | 7 |
| Day treatment for children | Behavioral health | $21.00 | hour | $21.00 | 2 |
| Family support (behavioral health) | Behavioral health | $19.97 | 15 min | $79.88 | 1 |
| Intensive home-based treatment (IHBT) | Behavioral health | $82.00 | day | $176.40 | 3 |
| Medication administration (behavioral health) | Behavioral health | $18.91 | encounter | — | 16 |
| Medication training and support | Behavioral health | $22.00 | 15 min | $88.00 | 8 |
| Mental health assessment (non-physician) | Behavioral health | $52.00 | 30 min | $208.00 | 8 |
| Mental health service plan development | Behavioral health | $22.00 | 15 min | $88.00 | 12 |
| Mobile and telephone crisis response | Behavioral health | $404.80 | encounter | — | 2 |
| Opioid treatment program medication dosing (non-methadone MAT) | Behavioral health | $663.77 | encounter | — | 2 |
| Opioid treatment: methadone administration | Behavioral health | $17.34 | encounter | — | 1 |
| Outpatient psychotherapy and diagnostic evaluation | Behavioral health | $85.07 | encounter | $85.41 | 123 |
| Peer support (behavioral health) | Behavioral health | $9.00 | 15 min | $36.00 | 13 |
| Psychiatric partial hospitalization | Behavioral health | $199.88 | 4 hrs | — | 2 |
| Psychoeducational services | Behavioral health | $14.00 | 15 min | $56.00 | 15 |
| Psychological and developmental testing | Behavioral health | $41.58 | 1 hr / 30 mins | $62.96 | 52 |
| Psychosocial rehabilitation | Behavioral health | $4.20 | 15 min | $16.80 | 1 |
| Skills training and development | Behavioral health | $14.00 | 15 min | $56.00 | 17 |
| Therapeutic behavioral services | Behavioral health | $14.70 | 15 min | $58.80 | 3 |
| FQHC/RHC payment method parameter | Clinics (FQHC/RHC) | $41.50 | % of FY1999-FY2000 average reasonable cost per visit | — | 6 |
| Dental services | Dental | $121.50 | — | — | 131 |
| Durable medical equipment | Equipment & supplies | $100.21 | — | $42.16 | 630 |
| Enteral and parenteral nutrition | Equipment & supplies | $12.47 | day | — | 19 |
| Medical supplies | Equipment & supplies | $5.54 | — | — | 209 |
| Orthotics and prosthetics | Equipment & supplies | $232.36 | — | $65.38 | 831 |
| Assistive technology assessment | Other home & community services | $40.00 | hour | — | 1 |
| Case management / support coordination | Other home & community services | $6.43 | 15 min | $92.40 | 34 |
| Community transition (moving out of an institution) | Other home & community services | $8.00 | 15 min | — | 1 |
| Family and peer mentoring | Other home & community services | $10.00 | 15 min | — | 1 |
| Financial management services (self-direction) | Other home & community services | $80.00 | month | — | 2 |
| HCBS rate-model component (formula input, not a billable fee) | Other home & community services | $11.38 | day | — | 2 |
| HCBS waiver service (other) | Other home & community services | $10.00 | 15 min | — | 1 |
| Home visit by medical personnel | Other home & community services | $9.10 | 15 min | $36.40 | 2 |
| Independent living skills training | Other home & community services | $6.18 | 15 min | — | 2 |
| Money management support | Other home & community services | $10.00 | 15 min | — | 1 |
| Respite care (daily) | Other home & community services | $164.00 | day | — | 4 |
| Respite care (hourly) | Other home & community services | $7.15 | 15 min | $22.42 | 10 |
| Supportive housing and housing transition supports | Other home & community services | $5.00 | 15 min | $20.00 | 3 |
| Hospice continuous home care (hourly) | Hospice | $675.44 | day | $58.39 | 56 |
| Hospice end-of-life visit add-on (per hour) | Hospice | $14.60 | 15 min | $58.38 | 56 |
| Hospice general inpatient care (daily) | Hospice | $1,034.34 | — | — | 28 |
| Hospice inpatient respite (daily) | Hospice | $486.23 | — | — | 28 |
| Hospice room and board in a nursing home | Hospice | $95.00 | % | — | 1 |
| Hospice routine home care (daily) | Hospice | $177.48 | — | — | 56 |
| Inpatient hospital payment method | Hospital inpatient | $80.00 | percentile of trended A&G cost per diem | — | 7 |
| Inpatient hospital stay (DRG base rate) | Hospital inpatient | $165.00 | — | — | 1 |
| Outpatient hospital services (fee schedule) | Hospital outpatient | $286.51 | — | $88.96 | 5460 |
| Surgery center facility fee (per procedure) | Hospital outpatient | $325.58 | — | — | 3222 |
| Behavior support services (disability waiver) | IDD services | $14.65 | 15 min | $57.20 | 8 |
| Benefits counseling | IDD services | $5.00 | 15 min | $16.00 | 5 |
| Community integration / community access (IDD) | IDD services | $6.18 | 15 min | $41.08 | 10 |
| Day habilitation / day program (IDD) | IDD services | $6.04 | 15 min | $24.16 | 32 |
| Employment exploration | IDD services | $1,200.00 | 15 min | $52.00 | 6 |
| ICF/IID payment method parameter | IDD services | $90.00 | percentile of cost per resident day | — | 3 |
| Job development and self-employment outcome payments | IDD services | $240.00 | 15 min | $52.00 | 10 |
| Prevocational services | IDD services | $15.56 | hour | $23.65 | 7 |
| Remote supports (technology-based supervision) | IDD services | $40.00 | Assessment | $3.52 | 17 |
| Residential habilitation / group home supports | IDD services | $3,087.90 | month | — | 1 |
| Supported employment (job coaching) | IDD services | $8.00 | 15 min | $39.00 | 31 |
| Clinical lab tests | Lab & pathology | $11.80 | — | — | 1283 |
| Nurse aide training and competency testing (NF) | Nursing facility | $30.00 | per nurse aide trained who passes the competency test | — | 1 |
| Nursing home daily add-on (ventilator, trach, insurance) | Nursing facility | $1.63 | day | — | 2 |
| Nursing home payment method parameter | Nursing facility | $10.00 | percentage points over the DRI inflation index | — | 9 |
| Dialysis facility composite rate (per treatment) | Other | $90.63 | — | — | 4 |
| Maternity care provider prenatal/postpartum visit bonus | Other | $125.00 | — | — | 3 |
| Companion care | Personal care & attendant | $3.82 | 15 min | $15.28 | 4 |
| Personal care / attendant care (hourly) | Personal care & attendant | $6.37 | 15 min | $28.60 | 11 |
| Physician-administered drugs (J-codes) | Pharmacy | $17.00 | — | — | 860 |
| Vaccines and immune globulins | Pharmacy | $122.02 | — | — | 61 |
| Waiver nursing (RN or LPN, by the 15 minutes) | Private duty nursing | $31.72 | hour | $37.18 | 10 |
| Payment percentage for non-physician practitioners | Physician & professional | $80.00 | — | — | 1 |
| Physician and practitioner services (fee schedule) | Physician & professional | $499.10 | — | $105.62 | 14144 |
| Imaging and radiology | Radiology | $55.76 | — | — | 1887 |
| Occupational therapy | Therapy (PT/OT/speech) | $18.59 | 15 min | $74.36 | 3 |
| Occupational therapy evaluation | Therapy (PT/OT/speech) | $63.12 | — | — | 8 |
| Physical therapy | Therapy (PT/OT/speech) | $18.59 | 15 min | $74.36 | 3 |
| Physical therapy evaluation | Therapy (PT/OT/speech) | $65.98 | — | — | 8 |
| Speech-language evaluation | Therapy (PT/OT/speech) | $55.75 | — | — | 4 |
| Speech-language therapy | Therapy (PT/OT/speech) | $78.08 | encounter | — | 3 |
| Swallowing and feeding evaluation | Therapy (PT/OT/speech) | $78.39 | — | — | 2 |
| Swallowing and feeding therapy | Therapy (PT/OT/speech) | $82.87 | — | — | 2 |
| Air ambulance transport | Transportation | $864.38 | — | — | 2 |
| Ambulance mileage | Transportation | $6.50 | mile | — | 3 |
| Ground ambulance transport | Transportation | $170.00 | — | — | 8 |
| Non-emergency medical transportation (NEMT) | Transportation | $17.00 | encounter | — | 9 |
| Waiver transportation (to community activities) | Transportation | $0.68 | mile | — | 10 |
Most-compared billing codes in Alabama
Where Alabama ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Alabama | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $192.91 | $79.38 | 1 of 35 |
| 10006 | Physician and practitioner services (fee schedule) | $93.19 | $44.97 | 1 of 35 |
| 10007 | Physician and practitioner services (fee schedule) | $428.66 | $150.61 | 1 of 35 |
| 10008 | Physician and practitioner services (fee schedule) | $242.34 | $73.48 | 1 of 35 |
| 10009 | Physician and practitioner services (fee schedule) | $699.12 | $180.34 | 1 of 35 |
| 10010 | Physician and practitioner services (fee schedule) | $422.59 | $102.56 | 1 of 35 |
| 10021 | Physician and practitioner services (fee schedule) | $223.17 | $67.99 | 1 of 35 |
| 10030 | Physician and practitioner services (fee schedule) | $427.85 | $162.47 | 12 of 35 |
| 10060 | Physician and practitioner services (fee schedule) | $176.46 | $81.94 | 2 of 35 |
| 10061 | Physician and practitioner services (fee schedule) | $312.42 | $148.21 | 1 of 35 |
| 10080 | Physician and practitioner services (fee schedule) | $266.57 | $100.82 | 2 of 35 |
| 10081 | Physician and practitioner services (fee schedule) | $402.49 | $159.09 | 2 of 35 |
| 10120 | Physician and practitioner services (fee schedule) | $227.95 | $89.53 | 1 of 35 |
| 10121 | Physician and practitioner services (fee schedule) | $410.48 | $159.38 | 1 of 35 |
| 10140 | Physician and practitioner services (fee schedule) | $245.13 | $100.20 | 1 of 35 |
| 10160 | Physician and practitioner services (fee schedule) | $195.58 | $79.28 | 1 of 35 |
| 10180 | Physician and practitioner services (fee schedule) | $366.87 | $154.29 | 2 of 35 |
| 11000 | Physician and practitioner services (fee schedule) | $82.41 | $35.27 | 2 of 35 |
| 11001 | Physician and practitioner services (fee schedule) | $32.03 | $16.01 | 3 of 35 |
| 11004 | Physician and practitioner services (fee schedule) | $900.35 | $437.26 | 1 of 35 |
| 11005 | Physician and practitioner services (fee schedule) | $1,207.44 | $593.90 | 1 of 35 |
| 11006 | Physician and practitioner services (fee schedule) | $1,089.84 | $548.28 | 1 of 35 |
| 11008 | Physician and practitioner services (fee schedule) | $424.59 | $211.81 | 1 of 35 |
| 11010 | Physician and practitioner services (fee schedule) | $733.13 | $259.67 | 1 of 35 |
| 11011 | Physician and practitioner services (fee schedule) | $788.41 | $291.14 | 1 of 35 |
| 11012 | Physician and practitioner services (fee schedule) | $1,060.63 | $393.77 | 1 of 35 |
| 11042 | Physician and practitioner services (fee schedule) | $175.06 | $76.21 | 2 of 35 |
| 11043 | Physician and practitioner services (fee schedule) | $344.88 | $158.67 | 1 of 35 |
| 11044 | Physician and practitioner services (fee schedule) | $477.43 | $213.31 | 1 of 35 |
| 11055 | Physician and practitioner services (fee schedule) | $71.46 | $20.00 | 2 of 35 |
| 11056 | Physician and practitioner services (fee schedule) | $87.72 | $29.68 | 2 of 35 |
| 11057 | Physician and practitioner services (fee schedule) | $98.84 | $38.94 | 2 of 35 |
| 11102 | Physician and practitioner services (fee schedule) | $148.00 | $65.28 | 1 of 35 |
| 11103 | Physician and practitioner services (fee schedule) | $79.93 | $32.73 | 1 of 35 |
| 11104 | Physician and practitioner services (fee schedule) | $186.15 | $77.06 | 1 of 35 |
| 11105 | Physician and practitioner services (fee schedule) | $91.61 | $38.77 | 1 of 35 |
| 11106 | Physician and practitioner services (fee schedule) | $225.14 | $95.36 | 1 of 35 |
| 11107 | Physician and practitioner services (fee schedule) | $108.11 | $46.36 | 1 of 35 |
| 11300 | Physician and practitioner services (fee schedule) | $143.83 | $42.15 | 1 of 35 |
| 11301 | Physician and practitioner services (fee schedule) | $178.10 | $55.47 | 1 of 35 |
Managed care in Alabama
16 plans on record, 0 state-directed payment records.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Alabama publish its Medicaid fee schedules?
Alabama publishes rates across 45 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Alabama publish?
29,598 rates are current across 100 services and 5 programs, with 29,606 versions on record since 1991-12-12.
Do Alabama Medicaid managed-care plans pay the fee schedule?
For 0 of 20 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.
Other states
Your Alabama rate cardYour codes, what Alabama pays, what plans must pay, and every change in 2026.