Louisiana Medicaid reimbursement rates
68,506 current fee-for-service and managed-care rates from Louisiana Medicaid, across 121 services and 10 programs, normalized by code, provider level and unit. Each links to one of 112 official source documents.
Last retrieved 2026-10-05. History back to 1991-07-15.
- Current rates
- 68,506
- Services
- 121
- Programs
- 10
- Lines with a plan rule
- 19of 21 service lines
By industry
Applied behavior analysis (ABA)Louisiana rates, labor costs and changesBehavioral healthLouisiana rates, labor costs and changesHome healthLouisiana rates, labor costs and changesHome care & personal careLouisiana rates, labor costs and changesPrivate duty nursingLouisiana rates, labor costs and changesSkilled nursing facilitiesLouisiana rates, labor costs and changesHospiceLouisiana rates, labor costs and changesIntellectual & developmental disabilitiesLouisiana rates, labor costs and changesOutpatient therapy (PT, OT, speech)Louisiana rates, labor costs and changes
Louisiana 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 assessment support by a technician | ABA / autism services | $10.50 | 15 min | $42.00 | 2 |
| ABA assessment with 2+ technicians (severe behavior) | ABA / autism services | $16.50 | 15 min | $66.00 | 2 |
| ABA parent and caregiver training | ABA / autism services | $17.50 | 15 min | $70.00 | 3 |
| ABA therapy with 2+ technicians (severe behavior) | ABA / autism services | $16.50 | 15 min | $66.00 | 2 |
| ABA therapy with plan changes by an analyst | ABA / autism services | $17.50 | 15 min | $70.00 | 3 |
| Group ABA parent training (several families) | ABA / autism services | $8.00 | 15 min | $32.00 | 2 |
| Group ABA therapy led by a technician | ABA / autism services | $7.25 | 15 min | $29.00 | 2 |
| Group ABA therapy led by an analyst | ABA / autism services | $7.50 | 15 min | $30.00 | 3 |
| One-on-one ABA therapy by a technician | ABA / autism services | $11.25 | 15 min | $45.00 | 2 |
| Addiction (substance use) counseling | Behavioral health | $18.81 | 15 min | $65.54 | 24 |
| Ambulatory withdrawal management (detox) | Behavioral health | $213.69 | day | — | 2 |
| Assertive Community Treatment (ACT) team | Behavioral health | $1,447.00 | month | — | 4 |
| Community psychiatric support and treatment (CPST) | Behavioral health | $29.59 | 15 min | $118.36 | 8 |
| Community-based wraparound services | Behavioral health | $188.84 | 15 min | $755.36 | 24 |
| Crisis intervention (behavioral health) | Behavioral health | $38.16 | 15 min | $152.64 | 11 |
| Crisis stabilization center visit | Behavioral health | $203.27 | One Hour | — | 24 |
| Family support (behavioral health) | Behavioral health | $8.07 | 15 min. | — | 2 |
| Intensive outpatient program (behavioral health) | Behavioral health | $240.00 | day | — | 6 |
| Medically supervised inpatient withdrawal (per day) | Behavioral health | $425.61 | day | — | 2 |
| Mental health assessment (non-physician) | Behavioral health | $78.03 | visit | — | 7 |
| Mental health community residence (rehab services) | Behavioral health | $178.39 | day | — | 3 |
| Mental health service plan development | Behavioral health | $10.00 | — | — | 1 |
| Mobile and telephone crisis response | Behavioral health | $37.91 | 15 min | $134.00 | 13 |
| Multisystemic therapy for youth | Behavioral health | $33.12 | 15 min | $132.48 | 2 |
| Opioid treatment program medication dosing (non-methadone MAT) | Behavioral health | $19.83 | day | — | 2 |
| Opioid treatment: methadone administration | Behavioral health | $20.41 | day | — | 2 |
| Outpatient psychotherapy and diagnostic evaluation | Behavioral health | $59.98 | — | $98.40 | 291 |
| Peer support (behavioral health) | Behavioral health | $7.92 | 15 min | $27.74 | 8 |
| Psychiatric residential treatment (daily) | Behavioral health | $448.73 | day | — | 7 |
| Psychosocial rehabilitation | Behavioral health | $12.64 | 15 min | $50.56 | 16 |
| Screening, brief intervention and referral (SBIRT) | Behavioral health | $21.19 | — | $110.40 | 6 |
| Skills training and development | Behavioral health | $7.80 | 15 min. | — | 1 |
| SUD residential treatment (per day) | Behavioral health | $265.59 | day | — | 8 |
| Supported employment (behavioral health) | Behavioral health | $234.38 | encounter | — | 2 |
| FQHC / RHC visit (PPS or APM rate) | Clinics (FQHC/RHC) | $208.68 | — | — | 2136 |
| Dental services | Dental | $169.83 | — | — | 424 |
| Durable medical equipment | Equipment & supplies | $88.52 | — | $37.56 | 597 |
| Enteral and parenteral nutrition | Equipment & supplies | $16.40 | 1 UNIT = 1 CAN | — | 186 |
| Medical supplies | Equipment & supplies | $7.55 | — | — | 280 |
| Orthotics and prosthetics | Equipment & supplies | $228.43 | — | $34.00 | 769 |
| Adult day health (medical model) | Other home & community services | $3.58 | 15 min | $14.32 | 4 |
| Assistive technology assessment | Other home & community services | $450.00 | One time | — | 5 |
| Automated medication dispenser monthly service | Other home & community services | $75.00 | month | — | 5 |
| Case management / support coordination | Other home & community services | $207.89 | month | — | 14 |
| Community transition (moving out of an institution) | Other home & community services | $2,250.00 | — | — | 4 |
| Emergency response system installation | Other home & community services | $30.00 | initial installation | — | 9 |
| Emergency response system monitoring | Other home & community services | $27.50 | monthly maintenance | — | 8 |
| Family caregiver training and support | Other home & community services | $77.50 | visit | — | 4 |
| Financial management services (self-direction) | Other home & community services | $105.88 | month | — | 4 |
| Health care assessment (monthly, disability waiver) | Other home & community services | $257.83 | per service | — | 3 |
| Home modifications (accessibility) | Other home & community services | $250.00 | per service | — | 3 |
| Home-delivered meals | Other home & community services | $7.20 | per service/meal | — | 2 |
| Nursing assessment | Other home & community services | $15.18 | — | $44.12 | 8 |
| Prescribed pediatric extended care (medical day care) | Other home & community services | $208.99 | day | $52.30 | 2 |
| Requisition fee for adaptive aids or home modifications | Other home & community services | $100.00 | per service | — | 5 |
| Respite care (daily) | Other home & community services | $145.48 | day | — | 3 |
| Respite care (hourly) | Other home & community services | $4.00 | 15 min. | $16.04 | 11 |
| Respite in a facility (daily) | Other home & community services | $180.00 | day | — | 3 |
| Service planning meeting | Other home & community services | $530.50 | one-time | — | 2 |
| Supportive housing and housing transition supports | Other home & community services | $15.58 | 15 min | $62.32 | 10 |
| Home health aide visit | Home health | $11.52 | 15 min | $46.08 | 1 |
| Home health nurse visit (RN or LPN) | Home health | $18.55 | 15 min | $49.44 | 14 |
| Home health occupational therapy | Home health | $52.94 | 15 min | $113.52 | 2 |
| Home health physical therapy | Home health | $52.61 | 15 min | $110.84 | 2 |
| Home health speech therapy | Home health | $27.22 | 15 min | $108.88 | 1 |
| Hospice routine home care (daily) | Hospice | $184.19 | — | — | 66 |
| Inpatient hospital stay (per diem) | Hospital inpatient | $1,037.29 | day | — | 628 |
| IHS / tribal outpatient visit (all-inclusive rate) | Hospital outpatient | $826.00 | — | — | 8 |
| Outpatient hospital cost-to-charge ratio | Hospital outpatient | $0.2483 | Outpatient CCR | — | 151 |
| Outpatient hospital services (fee schedule) | Hospital outpatient | $159.20 | — | $25.71 | 34 |
| Surgery center facility fee (per procedure) | Hospital outpatient | $182.30 | — | — | 4 |
| Behavior support services (disability waiver) | IDD services | $31.25 | 15 min | $125.00 | 37 |
| Community integration / community access (IDD) | IDD services | $4.00 | 15 min | $16.00 | 15 |
| Day habilitation / day program (IDD) | IDD services | $2.73 | 15 min | $10.92 | 6 |
| Employment exploration | IDD services | $175.00 | Per Assessment | — | 3 |
| ICF/IID stay (daily rate) | IDD services | $232.14 | — | — | 17 |
| In-home and community living supports (IDD) | IDD services | $3.41 | 15 min | $13.64 | 26 |
| Job development and self-employment outcome payments | IDD services | $20.00 | 15 min | $80.00 | 3 |
| Prevocational services | IDD services | $3.74 | 15 min | $14.96 | 12 |
| Remote supports (technology-based supervision) | IDD services | $50.00 | month | — | 3 |
| Residential habilitation / group home supports | IDD services | $20.00 | day | — | 1 |
| Shared living / host home / family model | IDD services | $72.28 | day | — | 25 |
| Supported employment (job coaching) | IDD services | $9.58 | 15 min | $38.32 | 12 |
| Supported employment follow-along | IDD services | $41.82 | day | $54.52 | 6 |
| Clinical lab tests | Lab & pathology | $15.61 | — | — | 6685 |
| Directed payment uniform increase (required MCO uplift) | Other | $1,000.00 | vehicle per month | — | 2 |
| Directed payment: plan payment level (% of benchmark) | Other | $94.60 | % of Commercial | — | 9 |
| Companion care | Personal care & attendant | $94.90 | day | — | 2 |
| Personal care (daily rate) | Personal care & attendant | $189.84 | day | — | 1 |
| Personal care / attendant care (hourly) | Personal care & attendant | $4.77 | 15 min | $19.08 | 15 |
| Personal care supplemental payment (lump sum) | Personal care & attendant | $38.88 | day | — | 1 |
| Structured family caregiving (daily) | Personal care & attendant | $107.12 | day | — | 6 |
| Physician-administered drugs (J-codes) | Pharmacy | $14.43 | 1mg | — | 433 |
| Private duty nursing (hourly shifts) | Private duty nursing | $57.72 | hour | $57.72 | 16 |
| Waiver nursing (RN or LPN, by the 15 minutes) | Private duty nursing | $11.40 | 15 min | $34.20 | 17 |
| Anesthesia conversion factor | Physician & professional | $17.88 | — | — | 10 |
| Physician and practitioner services (fee schedule) | Physician & professional | $481.27 | 30 min | $61.50 | 52240 |
| Imaging and radiology | Radiology | $51.78 | — | — | 2414 |
| Activity therapy | Therapy (PT/OT/speech) | $13.75 | 15 min | $55.00 | 8 |
| Cognitive rehabilitation therapy | Therapy (PT/OT/speech) | $6.86 | 15 min | $27.42 | 2 |
| Nutrition counseling (dietitian) | Therapy (PT/OT/speech) | $28.99 | 15 min | $115.96 | 16 |
| Occupational therapy | Therapy (PT/OT/speech) | $23.00 | 15 min | $92.00 | 38 |
| Occupational therapy evaluation | Therapy (PT/OT/speech) | $72.35 | — | $90.40 | 66 |
| Orthotic and prosthetic fitting and training | Therapy (PT/OT/speech) | $37.36 | 15 min | $149.44 | 33 |
| Physical therapy | Therapy (PT/OT/speech) | $23.00 | 15 min | $92.00 | 42 |
| Physical therapy evaluation | Therapy (PT/OT/speech) | $74.48 | — | $90.40 | 66 |
| Speech-generating device evaluation | Therapy (PT/OT/speech) | $38.00 | — | — | 1 |
| Speech-generating device therapy | Therapy (PT/OT/speech) | $31.87 | — | — | 1 |
| Speech-language evaluation | Therapy (PT/OT/speech) | $75.34 | — | $84.00 | 82 |
| Speech-language therapy | Therapy (PT/OT/speech) | $49.56 | — | $84.00 | 27 |
| Swallowing and feeding evaluation | Therapy (PT/OT/speech) | $68.31 | — | — | 10 |
| Swallowing and feeding therapy | Therapy (PT/OT/speech) | $77.63 | — | — | 7 |
| Air ambulance transport | Transportation | $4,046.01 | — | — | 8 |
| Ambulance extras (waiting time, extra attendant, neonatal) | Transportation | $176.60 | — | — | 3 |
| Ambulance mileage | Transportation | $22.05 | mile | — | 12 |
| Ground ambulance transport | Transportation | $533.27 | — | — | 21 |
| Non-emergency medical transportation (NEMT) | Transportation | $1.30 | per trip leg | — | 7 |
| Waiver transportation (to community activities) | Transportation | $20.00 | day | — | 6 |
| Eyeglasses and contact lenses | Vision & hearing | $45.53 | — | — | 95 |
| Hearing aids and hearing services | Vision & hearing | $553.73 | — | — | 26 |
Most-compared billing codes in Louisiana
Where Louisiana ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Louisiana | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $110.15 | $83.28 | 8 of 39 |
| 10006 | Physician and practitioner services (fee schedule) | $53.87 | $44.97 | 5 of 39 |
| 10007 | Physician and practitioner services (fee schedule) | $241.31 | $177.57 | 12 of 39 |
| 10008 | Physician and practitioner services (fee schedule) | $127.51 | $83.28 | 7 of 39 |
| 10009 | Physician and practitioner services (fee schedule) | $372.01 | $263.06 | 7 of 39 |
| 10010 | Physician and practitioner services (fee schedule) | $210.22 | $137.61 | 9 of 39 |
| 10021 | Physician and practitioner services (fee schedule) | $91.24 | $68.56 | 7 of 39 |
| 10030 | Physician and practitioner services (fee schedule) | $549.14 | $326.39 | 7 of 39 |
| 10060 | Physician and practitioner services (fee schedule) | $99.95 | $86.86 | 12 of 39 |
| 10061 | Physician and practitioner services (fee schedule) | $170.44 | $150.17 | 12 of 39 |
| 10080 | Physician and practitioner services (fee schedule) | $192.64 | $115.26 | 10 of 39 |
| 10081 | Physician and practitioner services (fee schedule) | $267.76 | $187.27 | 11 of 39 |
| 10120 | Physician and practitioner services (fee schedule) | $118.95 | $95.05 | 11 of 39 |
| 10121 | Physician and practitioner services (fee schedule) | $209.04 | $160.55 | 11 of 39 |
| 10140 | Physician and practitioner services (fee schedule) | $133.55 | $105.16 | 9 of 39 |
| 10160 | Physician and practitioner services (fee schedule) | $102.14 | $81.68 | 11 of 39 |
| 10180 | Physician and practitioner services (fee schedule) | $206.63 | $160.69 | 11 of 39 |
| 11000 | Physician and practitioner services (fee schedule) | $46.54 | $36.55 | 10 of 39 |
| 11001 | Physician and practitioner services (fee schedule) | $21.54 | $16.93 | 12 of 39 |
| 11004 | Physician and practitioner services (fee schedule) | $462.09 | $437.21 | 13 of 39 |
| 11005 | Physician and practitioner services (fee schedule) | $629.80 | $581.92 | 12 of 39 |
| 11006 | Physician and practitioner services (fee schedule) | $569.66 | $542.16 | 12 of 39 |
| 11008 | Physician and practitioner services (fee schedule) | $221.77 | $208.64 | 14 of 39 |
| 11010 | Physician and practitioner services (fee schedule) | $351.25 | $275.93 | 12 of 39 |
| 11011 | Physician and practitioner services (fee schedule) | $393.57 | $303.31 | 12 of 39 |
| 11012 | Physician and practitioner services (fee schedule) | $514.04 | $414.55 | 12 of 39 |
| 11042 | Physician and practitioner services (fee schedule) | $100.99 | $78.71 | 13 of 39 |
| 11043 | Physician and practitioner services (fee schedule) | $196.99 | $164.23 | 9 of 39 |
| 11044 | Physician and practitioner services (fee schedule) | $268.95 | $216.70 | 8 of 39 |
| 11055 | Physician and practitioner services (fee schedule) | $54.61 | $30.69 | 9 of 39 |
| 11056 | Physician and practitioner services (fee schedule) | $63.61 | $35.45 | 9 of 39 |
| 11057 | Physician and practitioner services (fee schedule) | $69.89 | $41.79 | 9 of 39 |
| 11102 | Physician and practitioner services (fee schedule) | $83.89 | $65.28 | 8 of 39 |
| 11103 | Physician and practitioner services (fee schedule) | $44.24 | $32.91 | 8 of 39 |
| 11104 | Physician and practitioner services (fee schedule) | $105.43 | $80.28 | 8 of 39 |
| 11105 | Physician and practitioner services (fee schedule) | $52.03 | $40.62 | 8 of 39 |
| 11106 | Physician and practitioner services (fee schedule) | $127.68 | $96.49 | 9 of 39 |
| 11107 | Physician and practitioner services (fee schedule) | $61.38 | $47.42 | 8 of 39 |
| 11300 | Physician and practitioner services (fee schedule) | $77.50 | $44.47 | 9 of 39 |
| 11301 | Physician and practitioner services (fee schedule) | $94.30 | $60.30 | 8 of 39 |
Managed care in Louisiana
9 plans on record, 11 state-directed payment records, 326 published capitation cells.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Louisiana publish its Medicaid fee schedules?
Louisiana publishes rates across 112 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Louisiana publish?
68,506 rates are current across 121 services and 10 programs, with 92,907 versions on record since 1991-07-15.
Do Louisiana Medicaid managed-care plans pay the fee schedule?
For 19 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.
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Your Louisiana rate cardYour codes, what Louisiana pays, what plans must pay, and every change in 2026.