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California Medicaid reimbursement rates

227,056 current fee-for-service and managed-care rates from California Medicaid, across 134 services and 23 programs, normalized by code, provider level and unit. Each links to one of 399 official source documents. California pays the highest rate of any state we cover for 10009, 10010, 10035.

Last retrieved 2026-10-02. History back to 2000-08-01.

Current rates
227,056
Services
134
Programs
23
Lines with a plan rule
3of 21 service lines

By industry

California 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.

ServiceLineMedian rateUnitPer hourVariants
Behavior analysis services (disability system)ABA / autism services$38.72hour$38.721764
Addiction (substance use) counselingBehavioral health$146.29Face-to-Face Visit (Per Person)$613.922082
Ambulatory withdrawal management (detox)Behavioral health$339.44hour$339.448
Behavioral health day treatmentBehavioral health$311.00>4.0 hours$308.54342
Behavioral health prevention educationBehavioral health$35.37——1
Behavioral health services (fee schedule)Behavioral health$180.02—$335.318592
Community-based wraparound servicesBehavioral health$28.3815 min$113.521
Comprehensive community support servicesBehavioral health$20.1115 min$80.444
Crisis intervention (behavioral health)Behavioral health$202.79—$668.962206
Family support (behavioral health)Behavioral health$152.57—$661.5612340
Functional family therapy (FFT)Behavioral health$186.4615 min$745.84399
Intensive outpatient program (behavioral health)Behavioral health$167.88Face-to-Face Visit—2
Medically supervised inpatient withdrawal (per day)Behavioral health$794.5224 Hour—33
Medication administration (behavioral health)Behavioral health$19.23——2
Medication training and supportBehavioral health$243.48—$272.0012938
Mental health assessment (non-physician)Behavioral health$433.94—$826.9722452
Mental health counselingBehavioral health$28.3815 min$113.521
Mental health service plan developmentBehavioral health$186.45—$395.826133
Mobile and telephone crisis responseBehavioral health$191.49encounter—342
Opioid treatment program medication dosing (non-methadone MAT)Behavioral health$116.21——1217
Opioid treatment: methadone administrationBehavioral health$30.45——122
Outpatient psychotherapy and diagnostic evaluationBehavioral health$550.35—$766.9215223
Peer support (behavioral health)Behavioral health$125.38—$395.693231
Psychiatric partial hospitalizationBehavioral health$741.2424 Hour—135
Psychoeducational servicesBehavioral health$20.1115 min$80.445
Psychosocial rehabilitationBehavioral health$89.4215 min$357.682737
Screening, brief intervention and referral (SBIRT)Behavioral health$17.14—$68.566
Skills training and developmentBehavioral health$20.1115 min$80.443
SUD case managementBehavioral health$186.99—$533.004883
SUD drug testing (collection and handling)Behavioral health$10.08——2
SUD residential treatment (per day)Behavioral health$288.31day—234
Supervised living or host home (adults with mental illness)Behavioral health$593.3924 Hour—228
Therapeutic behavioral servicesBehavioral health$132.2115 min$528.84913
FQHC / RHC visit (PPS or APM rate)Clinics (FQHC/RHC)$258.12——4233
FQHC dental visit (PPS or APM rate)Clinics (FQHC/RHC)$292.46——1918
Dental servicesDental$100.00——565
Dental supplemental payment (add-on to the fee schedule)Dental$40.00percent of SMA—312
Durable medical equipmentEquipment & supplies$98.07—$65.88770
Enteral and parenteral nutritionEquipment & supplies$23.70——9
Medical suppliesEquipment & supplies$45.00——14639
Orthotics and prostheticsEquipment & supplies$200.48—$65.88979
Adult day servicesOther home & community services$76.27day—1
Case management / support coordinationOther home & community services$58.64hour$58.64117
Community transition (moving out of an institution)Other home & community services$2,500.00——1
Family caregiver training and supportOther home & community services$20.11—$80.449
Financial management services (self-direction)Other home & community services$265.00month—60
HCBS provider incentive paymentOther home & community services$4.47hour$4.4721
Home modifications (accessibility)Other home & community services$1,250.00——2
Home-delivered mealsOther home & community services$150.00——1
Independent living skills trainingOther home & community services$54.98hour$54.981071
Interpreter servicesOther home & community services$4.8415 min$19.363
Nurse wellness counseling visitOther home & community services$22.78——2
Nursing assessmentOther home & community services$48.41——2
Other waiver goods and servicesOther home & community services$103.03——2
Prescribed pediatric extended care (medical day care)Other home & community services$44.12hour$44.121
Respite care (hourly)Other home & community services$14.98hour$14.982878
Respite in a facility (daily)Other home & community services$91.28day—1
Self-direction coaching / supports brokerOther home & community services$50.87hour$50.8742
Service planning meetingOther home & community services$199.50——2
Home health aide visitHome health$7.0915 min$28.364
Home health nurse visit (RN or LPN)Home health$11.0315 min$44.126
RN management of the home care planHome health$17.0415 min$68.163
Hospice continuous home care (hourly)Hospice$88.66hour—39
Hospice end-of-life visit add-on (per hour)Hospice$88.66——39
Hospice general inpatient care (daily)Hospice$1,473.77——39
Hospice inpatient respite (daily)Hospice$683.43——39
Hospice routine home care (daily)Hospice$262.88——78
Hospital administrative (non-acute) dayHospital inpatient$1,250.04——735
Inpatient DRG pricing input (outlier, cost ratio, stay)Hospital inpatient$0.2295——454
Inpatient DRG relative weightHospital inpatient$1.08——1342
Inpatient hospital stay (DRG base rate)Hospital inpatient$11,588.00——446
Inpatient hospital stay (per diem)Hospital inpatient$1,260.00——102
Inpatient payment adjustment factorHospital inpatient$1.32——477
Inpatient psychiatric stay (per day)Hospital inpatient$1,108.5224 Hour—32
Additional residential staffingIDD services$28.89hour$28.89168
Communication specialist (IDD)IDD services$68.52hour$68.5221
Community integration / community access (IDD)IDD services$13.82hour$13.82672
Day habilitation / day program (IDD)IDD services$46.31day$26.697614
Employment explorationIDD services$90.14hour$90.1421
ICF/IID bed-hold (leave) dayIDD services$422.25——6
ICF/IID stay (daily rate)IDD services$432.20——6
In-home and community living supports (IDD)IDD services$18.94hour$18.942143
Prevocational servicesIDD services$5.92hour$4.111512
Residential habilitation / group home supportsIDD services$8,566.13month—6889
Supplemental program support staffing (IDD, non-residential)IDD services$29.38hour$29.38273
Supported employment (job coaching)IDD services$27.21hour$19.161528
Tutoring (IDD)IDD services$28.49hour$28.49315
Clinical lab testsLab & pathology$18.40——1678
Adult subacute nursing care (daily rate)Nursing facility$692.27——226
Bed-hold / leave day reduction amountNursing facility$9.95——1
Nursing home bed-hold (leave) dayNursing facility$327.85——1486
Nursing home daily add-on (ventilator, trach, insurance)Nursing facility$92.55——4
Nursing home stay (daily rate)Nursing facility$324.03——1153
Pediatric subacute care (daily rate)Nursing facility$1,434.52——4
Specialty nursing home daily rate (pediatric or IDD class)Nursing facility$287.05——66
Swing-bed stay (hospital bed used for nursing-home care)Nursing facility$711.31——1
Diabetes prevention program session or milestone paymentOther$44.00——8
Doula visit (prenatal or postpartum)Other$40.5315 min$162.123
Early intervention services for infants and toddlersOther$50.37hour$50.3711991
Managed care capitation rateOther$530.68member month—6974
Home health aide or nurse aide care (hourly)Personal care & attendant$12.11hour$20.072
Homemaker / housekeeping helpPersonal care & attendant$16.97hour$16.97316
Personal care / attendant care (hourly)Personal care & attendant$14.18hour$14.181388
Physician-administered drugs (J-codes)Pharmacy$18.35——3089
Private duty nursing (hourly shifts)Private duty nursing$42.27hour$42.274
Waiver nursing (RN or LPN, by the 15 minutes)Private duty nursing$12.1115 min$48.424
Anesthesia base units (per procedure)Physician & professional$75.93——267
Physician and practitioner services (fee schedule)Physician & professional$226.36—$78.0221977
Physician fee schedule conversion factorPhysician & professional$12.42——91
Wellness coaching by a certified coachPhysician & professional$41.08——3
Imaging and radiologyRadiology$93.82——659
Audiology and auditory integration trainingTherapy (PT/OT/speech)$72.63hour$72.63504
Cognitive rehabilitation therapyTherapy (PT/OT/speech)$20.3115 min$81.244
Nutrition counseling (dietitian)Therapy (PT/OT/speech)$29.4715 min$119.6412
Occupational therapyTherapy (PT/OT/speech)$61.73hour$61.731013
Occupational therapy evaluationTherapy (PT/OT/speech)$106.53——2
Other therapy servicesTherapy (PT/OT/speech)$61.72hour$61.728148
Physical therapyTherapy (PT/OT/speech)$61.73hour$61.731015
Physical therapy evaluationTherapy (PT/OT/speech)$114.85——2
Speech-generating device evaluationTherapy (PT/OT/speech)$108.85——2
Speech-generating device therapyTherapy (PT/OT/speech)$51.95——1
Speech-language evaluationTherapy (PT/OT/speech)$64.11——9
Speech-language therapyTherapy (PT/OT/speech)$61.73hour$61.781011
Swallowing and feeding evaluationTherapy (PT/OT/speech)$55.33——2
Swallowing and feeding therapyTherapy (PT/OT/speech)$38.36——2
Air ambulance transportTransportation$1,537.50——2
Ambulance mileageTransportation$2.53mile—6
Escort / attendant on waiver transportationTransportation$30.89hour$30.8963
Ground ambulance transportTransportation$200.36——20
Non-emergency medical transportation (NEMT)Transportation$17.65——7
Staff mileage add-onTransportation$2.51mile—11382
Waiver transportation (to community activities)Transportation$2.29mile—1008
Eyeglasses and contact lensesVision & hearing$32.18——203
Hearing aids and hearing servicesVision & hearing$1.53——18

Most-compared billing codes in California

Where California ranks among states for codes published widely. Rank 1 = highest rate.

CodeServiceCaliforniaAll-state medianRank
10004Physician and practitioner services (fee schedule)$45.05$35.523 of 19
10005Physician and practitioner services (fee schedule)$111.69$60.632 of 19
10006Physician and practitioner services (fee schedule)$51.75$39.902 of 19
10007Physician and practitioner services (fee schedule)$259.49$76.742 of 19
10008Physician and practitioner services (fee schedule)$145.57$46.942 of 19
10009Physician and practitioner services (fee schedule)$428.52$93.031 of 19
10010Physician and practitioner services (fee schedule)$256.89$65.321 of 19
10021Physician and practitioner services (fee schedule)$73.34$49.773 of 19
10030Physician and practitioner services (fee schedule)$40.00$119.4319 of 19
10035Physician and practitioner services (fee schedule)$492.55$70.261 of 19
10036Physician and practitioner services (fee schedule)$430.75$35.411 of 19
10060Physician and practitioner services (fee schedule)$35.00$76.1618 of 19
10061Physician and practitioner services (fee schedule)$40.00$129.1618 of 19
10080Physician and practitioner services (fee schedule)$38.00$78.7317 of 19
10081Physician and practitioner services (fee schedule)$55.00$127.8618 of 19
10120Physician and practitioner services (fee schedule)$39.00$77.4418 of 19
10121Physician and practitioner services (fee schedule)$50.00$135.2918 of 19
10140Physician and practitioner services (fee schedule)$49.89$86.4518 of 19
10160Physician and practitioner services (fee schedule)$8.00$69.5219 of 19
10180Physician and practitioner services (fee schedule)$32.00$148.1018 of 19
11000Physician and practitioner services (fee schedule)$19.73$24.5215 of 19
11001Physician and practitioner services (fee schedule)$10.42$12.3615 of 19
11004Physician and practitioner services (fee schedule)$85.45$437.2118 of 19
11005Physician and practitioner services (fee schedule)$114.56$573.0218 of 19
11006Physician and practitioner services (fee schedule)$107.52$542.1618 of 19
11008Physician and practitioner services (fee schedule)$43.19$206.5619 of 19
11010Physician and practitioner services (fee schedule)$225.24$225.2410 of 19
11011Physician and practitioner services (fee schedule)$282.20$229.465 of 19
11012Physician and practitioner services (fee schedule)$384.96$326.266 of 19
11042Physician and practitioner services (fee schedule)$103.87$50.802 of 19
11043Physician and practitioner services (fee schedule)$157.11$134.215 of 19
11044Physician and practitioner services (fee schedule)$202.53$182.127 of 19
11055Physician and practitioner services (fee schedule)$16.75$14.809 of 19
11056Physician and practitioner services (fee schedule)$25.32$20.387 of 19
11057Physician and practitioner services (fee schedule)$26.81$26.139 of 19
11102Physician and practitioner services (fee schedule)$89.35$32.232 of 19
11103Physician and practitioner services (fee schedule)$48.03$18.651 of 19
11104Physician and practitioner services (fee schedule)$112.06$40.432 of 19
11105Physician and practitioner services (fee schedule)$54.73$22.051 of 19
11106Physician and practitioner services (fee schedule)$135.89$49.212 of 19

Managed care in California

231 plans on record, 0 state-directed payment records, 45,656 published capitation cells.

Who sets the rate, line by line →

Recent rate changes and notices

NoticeStatusEffective
Proposed TBL fact sheet (2025-26): Nondesignated Public Hospital Supplemental Fund and Intergovernmental Transfer Programsproposed2028-12-31
Prop 56 dental supplemental payments discontinued July 1, 2027enacted2027-07-01
CA SPA 26-0010 public notice: Proposes to extend the reimbursement methodology for the Freestanding Skilled Nursing Facilities Level B and Freestanding Adult Subacute Facilities and the Workforce Standards Program through Calendar Year 2027proposed2027-01-01
CY 2027 ICF/DD rates (public review draft): new rates effective 2027-01-01 (posting file-229842.xlsx)effective2027-01-01
D-2026-Rate Reform-004: Day Program – Updates for Length of Day and Corresponding Billingeffective2027-01-01
Medi-Cal Behavioral Health Fee Schedules FY 26-27: smhs-bh-connect-monthly-services-rate-26-27.xlsx: new rates effective 2027-01-01 (posting FY 26-27)effective2027-01-01
Press TAB to advance to the next cell. Press UP, DOWN, LEFT, or RIGHT ARROW to move cell by cell through the document. PUBLIC REVIEW DRAFT -: new rates effective 2027-01-01 (posting file-230119.xlsx)effective2027-01-01
Press TAB to advance to the next cell. Press UP, DOWN, LEFT, or RIGHT ARROW to move cell by cell through the document. PUBLIC REVIEW DRAFT -: new rates effective 2027-01-01 (posting file-230126.xlsx)effective2027-01-01
Public Review Draft: CY 2027 DPNFB rates: new rates effective 2027-01-01 (posting dpnf-b-cy2027-public-review.xlsx)effective2027-01-01
Public Review Draft: CY 2027 DPSA rates: new rates effective 2027-01-01 (posting file-229921.xlsx)effective2027-01-01
Public Review Draft: CY 2027 FSNFB rate study: new rates effective 2027-01-01 (posting file-230206.xlsx)effective2027-01-01
Public Review Draft: CY 2027 FSSA rate study: new rates effective 2027-01-01 (posting file-230195.xlsx)effective2027-01-01

Frequently asked questions

Where does California publish its Medicaid fee schedules?

California publishes rates across 399 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.

How many Medicaid rates does California publish?

227,056 rates are current across 134 services and 23 programs, with 936,340 versions on record since 2000-08-01.

Do California Medicaid managed-care plans pay the fee schedule?

For 3 of 21 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 California rate cardYour codes, what California pays, what plans must pay, and every change in 2026.
Medicaid rates by state