Arkansas Medicaid reimbursement rates
58,270 current fee-for-service and managed-care rates from Arkansas Medicaid, across 78 services and 6 programs, normalized by code, provider level and unit. Each links to one of 60 official source documents.
Last retrieved 2026-10-05. History back to 1996-04-01.
- Current rates
- 58,270
- Services
- 78
- Programs
- 6
- Lines with a plan rule
- 0of 6 service lines
By industry
Applied behavior analysis (ABA)Arkansas rates, labor costs and changesBehavioral healthArkansas rates, labor costs and changesHome healthArkansas rates, labor costs and changesHome care & personal careArkansas rates, labor costs and changesPrivate duty nursingArkansas rates, labor costs and changesSkilled nursing facilitiesArkansas rates, labor costs and changesHospiceArkansas rates, labor costs and changesIntellectual & developmental disabilitiesArkansas rates, labor costs and changesOutpatient therapy (PT, OT, speech)Arkansas rates, labor costs and changes
Arkansas 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 | $20.00 | 15 min | $80.00 | 3 |
| ABA parent and caregiver training | ABA / autism services | $20.00 | 15 min | $80.00 | 2 |
| ABA therapy with plan changes by an analyst | ABA / autism services | $22.50 | 15 min | $90.00 | 2 |
| One-on-one ABA therapy by a technician | ABA / autism services | $15.00 | 15 min | $60.00 | 2 |
| Behavioral health services (fee schedule) | Behavioral health | $26.53 | day | $51.28 | 32 |
| Mental health service plan development | Behavioral health | $29.42 | — | — | 1 |
| Outpatient psychotherapy and diagnostic evaluation | Behavioral health | $77.27 | — | $118.44 | 162 |
| Skills training and development | Behavioral health | $12.58 | 15 min | $50.32 | 4 |
| Therapeutic behavioral services | Behavioral health | $16.77 | 15 min | $67.08 | 6 |
| Therapeutic behavioral services (daily rate) | Behavioral health | $82.89 | day | — | 6 |
| FQHC / RHC visit (PPS or APM rate) | Clinics (FQHC/RHC) | $25.30 | hour | $18.27 | 19 |
| Dental services | Dental | $115.82 | — | — | 419 |
| Durable medical equipment | Equipment & supplies | $68.00 | — | $99.00 | 1334 |
| Enteral and parenteral nutrition | Equipment & supplies | $1.68 | — | — | 93 |
| Medical supplies | Equipment & supplies | $8.00 | — | — | 1121 |
| Orthotics and prosthetics | Equipment & supplies | $331.47 | — | $100.00 | 1681 |
| Adult day services | Other home & community services | $2.81 | 15 min | $11.22 | 4 |
| Assisted living / alternative living services | Other home & community services | $86.73 | day | — | 1 |
| Case management / support coordination | Other home & community services | $7.50 | 15 min | $30.00 | 17 |
| Emergency response system installation | Other home & community services | $29.90 | — | — | 1 |
| Emergency response system monitoring | Other home & community services | $32.62 | day | — | 1 |
| Home modifications (accessibility) | Other home & community services | $7,500.00 | — | — | 1 |
| Home-delivered meals | Other home & community services | $5.97 | meal | — | 3 |
| Prescribed pediatric extended care (medical day care) | Other home & community services | $58.00 | day | — | 1 |
| Respite care (hourly) | Other home & community services | $3.00 | 15 min | $12.00 | 4 |
| Respite in a facility (daily) | Other home & community services | $165.00 | day | — | 2 |
| Service planning meeting | Other home & community services | $26.10 | 15 min | $104.40 | 1 |
| Home health aide visit | Home health | $95.47 | visit | — | 3 |
| Home health physical therapy | Home health | $141.02 | day | — | 2 |
| Hospice continuous home care (hourly) | Hospice | $35.97 | hour | — | 2 |
| Hospice end-of-life visit add-on (per hour) | Hospice | $54.10 | hour | $54.10 | 6 |
| Hospice general inpatient care (daily) | Hospice | $615.82 | day | — | 2 |
| Hospice inpatient respite (daily) | Hospice | $272.99 | day | — | 2 |
| Hospice routine home care (daily) | Hospice | $101.68 | day | — | 4 |
| Hospice wage index (area factor) | Hospice | $0.8367 | — | — | 22 |
| Inpatient addiction treatment or detox (per day) | Hospital inpatient | $850.00 | day | — | 1 |
| Inpatient hospital payment method | Hospital inpatient | $459.50 | day | — | 4 |
| Inpatient hospital stay (DRG base rate) | Hospital inpatient | $95.00 | — | — | 1 |
| Inpatient hospital stay (per diem) | Hospital inpatient | $400.00 | day | — | 1 |
| Inpatient rate add-on (education, wage, directed payment) | Hospital inpatient | $73.00 | day | — | 2 |
| Outpatient hospital services (fee schedule) | Hospital outpatient | $4.92 | — | — | 259 |
| Surgery center facility fee (per procedure) | Hospital outpatient | $484.97 | — | — | 7340 |
| Surgery center wage index (area factor) | Hospital outpatient | $0.8676 | — | — | 9 |
| Behavior support services (disability waiver) | IDD services | $513.05 | — | $104.40 | 2 |
| Day treatment for people with I/DD (clinic) | IDD services | $8.88 | — | $61.50 | 12 |
| ICF/IID stay (daily rate) | IDD services | $10.54 | day | — | 3 |
| Prevocational services | IDD services | $6.40 | 15 min | $25.60 | 2 |
| Supported employment (job coaching) | IDD services | $25.59 | 15 min | $102.36 | 4 |
| Clinical lab tests | Lab & pathology | $20.78 | — | — | 13644 |
| Nursing home stay (daily rate) | Nursing facility | $70.00 | — | — | 7 |
| Dialysis facility composite rate (per treatment) | Other | $58.71 | — | — | 13 |
| Companion care | Personal care & attendant | $1.68 | 15 min | $6.72 | 1 |
| Personal care (daily rate) | Personal care & attendant | $29.86 | day | — | 10 |
| Personal care / attendant care (hourly) | Personal care & attendant | $5.12 | 15 min | $20.48 | 5 |
| Physician-administered drugs (J-codes) | Pharmacy | $10.46 | — | — | 2425 |
| Private duty nursing (hourly shifts) | Private duty nursing | $33.00 | hour | $33.00 | 6 |
| Waiver nursing (RN or LPN, by the 15 minutes) | Private duty nursing | $3.97 | 15 min | $15.88 | 4 |
| Physician and practitioner services (fee schedule) | Physician & professional | $172.89 | — | $70.51 | 23800 |
| Telehealth originating-site facility fee | Physician & professional | $2.54 | — | — | 25 |
| Imaging and radiology | Radiology | $71.30 | — | — | 5479 |
| Nutrition counseling (dietitian) | Therapy (PT/OT/speech) | $3.56 | 15 min | $14.24 | 4 |
| Occupational therapy | Therapy (PT/OT/speech) | $22.48 | 15 min | $89.92 | 12 |
| Occupational therapy evaluation | Therapy (PT/OT/speech) | $123.60 | — | — | 20 |
| Other therapy services | Therapy (PT/OT/speech) | $16.50 | 15 min | $66.00 | 2 |
| Physical therapy | Therapy (PT/OT/speech) | $21.76 | 15 min | $87.04 | 14 |
| Physical therapy evaluation | Therapy (PT/OT/speech) | $123.60 | — | — | 24 |
| Speech-generating device evaluation | Therapy (PT/OT/speech) | $111.38 | — | — | 2 |
| Speech-language evaluation | Therapy (PT/OT/speech) | $49.44 | 30 min | $98.88 | 36 |
| Speech-language therapy | Therapy (PT/OT/speech) | $23.20 | 15 min | $104.44 | 11 |
| Swallowing and feeding evaluation | Therapy (PT/OT/speech) | $47.44 | — | — | 1 |
| Swallowing and feeding therapy | Therapy (PT/OT/speech) | $38.58 | — | — | 1 |
| Air ambulance transport | Transportation | $2,733.10 | — | — | 1 |
| Ambulance mileage | Transportation | $7.26 | mile | — | 9 |
| Ground ambulance transport | Transportation | $172.67 | — | — | 6 |
| Non-emergency medical transportation (NEMT) | Transportation | $2.86 | — | — | 17 |
| Eye exams and vision services | Vision & hearing | $60.62 | — | — | 6 |
| Eyeglasses and contact lenses | Vision & hearing | $75.55 | — | — | 31 |
| Hearing aids and hearing services | Vision & hearing | $0.00 | — | — | 48 |
Most-compared billing codes in Arkansas
Where Arkansas ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Arkansas | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $28.31 | $79.38 | 35 of 35 |
| 10006 | Physician and practitioner services (fee schedule) | $13.75 | $44.97 | 35 of 35 |
| 10007 | Physician and practitioner services (fee schedule) | $62.53 | $150.61 | 31 of 35 |
| 10008 | Physician and practitioner services (fee schedule) | $35.39 | $73.48 | 33 of 35 |
| 10009 | Physician and practitioner services (fee schedule) | $101.80 | $180.34 | 23 of 35 |
| 10010 | Physician and practitioner services (fee schedule) | $61.60 | $102.56 | 28 of 35 |
| 10021 | Physician and practitioner services (fee schedule) | $19.80 | $67.99 | 34 of 35 |
| 10030 | Physician and practitioner services (fee schedule) | $187.19 | $162.47 | 17 of 35 |
| 10060 | Physician and practitioner services (fee schedule) | $55.60 | $81.94 | 30 of 35 |
| 10061 | Physician and practitioner services (fee schedule) | $167.20 | $148.21 | 12 of 35 |
| 10080 | Physician and practitioner services (fee schedule) | $52.66 | $100.82 | 31 of 35 |
| 10081 | Physician and practitioner services (fee schedule) | $31.24 | $159.09 | 34 of 35 |
| 10120 | Physician and practitioner services (fee schedule) | $50.98 | $89.53 | 32 of 35 |
| 10121 | Physician and practitioner services (fee schedule) | $155.02 | $159.38 | 20 of 35 |
| 10140 | Physician and practitioner services (fee schedule) | $63.11 | $100.20 | 29 of 35 |
| 10160 | Physician and practitioner services (fee schedule) | $46.78 | $79.28 | 31 of 35 |
| 10180 | Physician and practitioner services (fee schedule) | $141.57 | $154.29 | 24 of 35 |
| 11000 | Physician and practitioner services (fee schedule) | $65.27 | $35.27 | 3 of 35 |
| 11001 | Physician and practitioner services (fee schedule) | $24.00 | $16.01 | 5 of 35 |
| 11004 | Physician and practitioner services (fee schedule) | $138.75 | $437.26 | 33 of 35 |
| 11005 | Physician and practitioner services (fee schedule) | $189.01 | $593.90 | 31 of 35 |
| 11006 | Physician and practitioner services (fee schedule) | $174.75 | $548.28 | 33 of 35 |
| 11008 | Physician and practitioner services (fee schedule) | $71.15 | $211.81 | 32 of 35 |
| 11010 | Physician and practitioner services (fee schedule) | $72.34 | $259.67 | 34 of 35 |
| 11011 | Physician and practitioner services (fee schedule) | $86.08 | $291.14 | 34 of 35 |
| 11012 | Physician and practitioner services (fee schedule) | $119.77 | $393.77 | 34 of 35 |
| 11042 | Physician and practitioner services (fee schedule) | $76.21 | $76.21 | 18 of 35 |
| 11043 | Physician and practitioner services (fee schedule) | $164.23 | $158.67 | 17 of 35 |
| 11044 | Physician and practitioner services (fee schedule) | $230.77 | $213.31 | 16 of 35 |
| 11055 | Physician and practitioner services (fee schedule) | $15.51 | $20.00 | 25 of 35 |
| 11056 | Physician and practitioner services (fee schedule) | $22.11 | $29.68 | 25 of 35 |
| 11057 | Physician and practitioner services (fee schedule) | $24.09 | $38.94 | 26 of 35 |
| 11102 | Physician and practitioner services (fee schedule) | $86.48 | $65.28 | 6 of 35 |
| 11103 | Physician and practitioner services (fee schedule) | $46.73 | $32.73 | 5 of 35 |
| 11104 | Physician and practitioner services (fee schedule) | $135.94 | $77.06 | 3 of 35 |
| 11105 | Physician and practitioner services (fee schedule) | $66.96 | $38.77 | 3 of 35 |
| 11106 | Physician and practitioner services (fee schedule) | $131.56 | $95.36 | 6 of 35 |
| 11107 | Physician and practitioner services (fee schedule) | $79.02 | $46.36 | 3 of 35 |
| 11300 | Physician and practitioner services (fee schedule) | $46.64 | $42.15 | 15 of 35 |
| 11301 | Physician and practitioner services (fee schedule) | $53.68 | $55.47 | 20 of 35 |
Managed care in Arkansas
16 plans on record, 0 state-directed payment records, 28 published capitation cells.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Arkansas publish its Medicaid fee schedules?
Arkansas publishes rates across 60 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Arkansas publish?
58,270 rates are current across 78 services and 6 programs, with 70,193 versions on record since 1996-04-01.
Do Arkansas Medicaid managed-care plans pay the fee schedule?
For 0 of 6 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 Arkansas rate cardYour codes, what Arkansas pays, what plans must pay, and every change in 2026.