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Mississippi Medicaid reimbursement rates

30,350 current fee-for-service and managed-care rates from Mississippi Medicaid, across 94 services and 9 programs, normalized by code, provider level and unit. Each links to one of 40 official source documents.

Last retrieved 2026-10-05. History back to 1990-01-01.

Current rates
30,350
Services
94
Programs
9
Lines with a plan rule
20of 22 service lines

By industry

Mississippi 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
ABA assessment by a behavior analystABA / autism services$59.9915 min$239.962
ABA assessment support by a technicianABA / autism services$56.2115 min$224.822
ABA assessment with 2+ technicians (severe behavior)ABA / autism services$56.6415 min$226.561
ABA parent and caregiver trainingABA / autism services$26.4015 min$105.602
ABA therapy with 2+ technicians (severe behavior)ABA / autism services$41.4915 min$165.961
ABA therapy with plan changes by an analystABA / autism services$79.5715 min$318.282
Group ABA parent training (several families)ABA / autism services$20.3115 min$81.242
Group ABA therapy led by a technicianABA / autism services$18.9415 min$75.742
Group ABA therapy led by an analystABA / autism services$20.3115 min$81.242
One-on-one ABA therapy by a technicianABA / autism services$46.1215 min$184.462
Behavioral health services (fee schedule)Behavioral health$39.97—$102.6835
Mental health assessment (non-physician)Behavioral health$119.45——2
Mental health service plan developmentBehavioral health$21.37——1
Outpatient psychotherapy and diagnostic evaluationBehavioral health$96.92—$129.3037
PRTF payment method parameterBehavioral health$165,354.00bed—1
Psychiatric residential treatment (daily)Behavioral health$561.22——7
FQHC / RHC visit (PPS or APM rate)Clinics (FQHC/RHC)$160.95——505
State health department clinic rateClinics (FQHC/RHC)$477.15——5
Dental servicesDental$490.95——278
Durable medical equipmentEquipment & supplies$83.71——1675
Enteral and parenteral nutritionEquipment & supplies$23.81day—22
Medical suppliesEquipment & supplies$7.46——475
Orthotics and prostheticsEquipment & supplies$379.50——779
Adult day servicesOther home & community services$4.9315 min$19.721
Assisted living / alternative living servicesOther home & community services$82.78day—1
Case management / support coordinationOther home & community services$193.6115 min$60.4812
Community residential services for people with a brain injuryOther home & community services$494.09day—1
Community transition (moving out of an institution)Other home & community services$1,500.00—$107.3210
Home-delivered mealsOther home & community services$4.96meal—3
Nursing assessmentOther home & community services$39.10——3
Nursing respite (RN or LPN)Other home & community services$11.1715 min$44.682
Prescribed pediatric extended care (medical day care)Other home & community services$184.57day$52.732
Respite care (daily)Other home & community services$239.04day—1
Respite care (hourly)Other home & community services$4.4415 min$17.769
Respite in a facility (daily)Other home & community services$397.27day—2
Social work services (waiver)Other home & community services$26.58day—2
Home health aide visitHome health$75.48visit—43
Home health nurse visit (RN or LPN)Home health$151.47visit—43
Home health physical therapyHome health$65.00visit—43
Home health speech therapyHome health$65.00visit—43
Hospice continuous home care (hourly)Hospice$764.58day$61.5042
Hospice end-of-life visit add-on (per hour)Hospice$38.42hour$61.4842
Hospice general inpatient care (daily)Hospice$1,080.43——21
Hospice inpatient respite (daily)Hospice$506.94——21
Hospice routine home care (daily)Hospice$185.69——42
Hospice wage index (area factor)Hospice$0.8068——21
Inpatient DRG pricing input (outlier, cost ratio, stay)Hospital inpatient$0.4365——170
Outpatient hospital services (fee schedule)Hospital outpatient$87.51—$86.3672
Surgery center facility fee (per procedure)Hospital outpatient$391.58——6
Behavior support services (disability waiver)IDD services$277.09one time$93.284
Crisis intervention for people with I/DD (waiver)IDD services$346.5215 min$116.602
Day habilitation / day program (IDD)IDD services$5.2615 min$21.046
Employment explorationIDD services$15.1015 min$60.401
ICF/IID payment method parameterIDD services$165,354.00bed—1
ICF/IID stay (daily rate)IDD services$474.63——6
In-home and community living supports (IDD)IDD services$4.8815 min$19.5212
Job development and self-employment outcome paymentsIDD services$11.0115 min$44.042
Out-of-home crisis stay for people with I/DDIDD services$1,163.09day—1
Prevocational servicesIDD services$12.41hour$21.0412
Residential habilitation / group home supportsIDD services$253.06day—8
Shared living / host home / family modelIDD services$173.00day—4
Supported employment (job coaching)IDD services$6.7815 min$27.126
Clinical lab testsLab & pathology$23.99——3487
Nursing home payment method parameterNursing facility$189,468.00bed—2
Nursing home stay (daily rate)Nursing facility$285.90——169
Swing-bed stay (hospital bed used for nursing-home care)Nursing facility$284.35——37
Dialysis facility composite rate (per treatment)Other$245.34——123
Managed care capitation rateOther$542.42month—11
Companion carePersonal care & attendant$136.50day—1
Home health aide or nurse aide care (hourly)Personal care & attendant$14.89hour$14.892
Personal care / attendant care (hourly)Personal care & attendant$4.1415 min$16.563
Pharmacist medication therapy management (case rate)Pharmacy$65.72——2
Physician-administered drugs (J-codes)Pharmacy$26.48——2021
Private duty nursing (hourly shifts)Private duty nursing$29.33hour$29.339
Waiver nursing (RN or LPN, by the 15 minutes)Private duty nursing$19.9115 min$79.642
Physician and practitioner services (fee schedule)Physician & professional$565.29base unit$91.8017054
Imaging and radiologyRadiology$84.51——2678
Nutrition counseling (dietitian)Therapy (PT/OT/speech)$26.6415 min$106.562
Occupational therapyTherapy (PT/OT/speech)$28.9815 min$115.925
Occupational therapy evaluationTherapy (PT/OT/speech)$83.67——8
Orthotic and prosthetic fitting and trainingTherapy (PT/OT/speech)$37.5615 min$150.246
Physical therapyTherapy (PT/OT/speech)$24.3615 min$97.445
Physical therapy evaluationTherapy (PT/OT/speech)$81.69——8
Speech-language evaluationTherapy (PT/OT/speech)$102.16——8
Speech-language therapyTherapy (PT/OT/speech)$63.07—$67.403
Swallowing and feeding evaluationTherapy (PT/OT/speech)$50.18——3
Swallowing and feeding therapyTherapy (PT/OT/speech)$70.00——2
Air ambulance transportTransportation$2,211.19——2
Ambulance mileageTransportation$7.62mile—3
Ground ambulance transportTransportation$404.26——6
Non-emergency medical transportation (NEMT)Transportation$30.00——12
Waiver transportation (to community activities)Transportation$42.45day—1
Eyeglasses and contact lensesVision & hearing$35.31——88
Hearing aids and hearing servicesVision & hearing$296.18——24

Most-compared billing codes in Mississippi

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

CodeServiceMississippiAll-state medianRank
10005Physician and practitioner services (fee schedule)$107.80$83.7211 of 45
10006Physician and practitioner services (fee schedule)$50.28$45.2512 of 45
10007Physician and practitioner services (fee schedule)$273.21$180.3710 of 45
10008Physician and practitioner services (fee schedule)$113.73$83.9315 of 45
10009Physician and practitioner services (fee schedule)$328.26$263.0616 of 45
10010Physician and practitioner services (fee schedule)$188.17$139.4115 of 45
10021Physician and practitioner services (fee schedule)$82.09$68.5613 of 45
10030Physician and practitioner services (fee schedule)$491.59$326.3915 of 45
10060Physician and practitioner services (fee schedule)$104.14$87.0210 of 45
10061Physician and practitioner services (fee schedule)$179.34$150.4612 of 45
10080Physician and practitioner services (fee schedule)$213.11$115.2610 of 45
10081Physician and practitioner services (fee schedule)$302.98$187.279 of 45
10120Physician and practitioner services (fee schedule)$126.37$96.399 of 45
10121Physician and practitioner services (fee schedule)$223.03$165.549 of 45
10140Physician and practitioner services (fee schedule)$140.77$106.138 of 45
10160Physician and practitioner services (fee schedule)$106.49$83.699 of 45
10180Physician and practitioner services (fee schedule)$230.90$165.589 of 45
11000Physician and practitioner services (fee schedule)$48.10$36.559 of 45
11001Physician and practitioner services (fee schedule)$22.07$16.9311 of 45
11004Physician and practitioner services (fee schedule)$427.31$436.3325 of 45
11005Physician and practitioner services (fee schedule)$581.92$581.9223 of 45
11006Physician and practitioner services (fee schedule)$526.28$540.5126 of 45
11008Physician and practitioner services (fee schedule)$205.26$208.6425 of 45
11010Physician and practitioner services (fee schedule)$377.98$275.9310 of 45
11011Physician and practitioner services (fee schedule)$433.14$303.319 of 45
11012Physician and practitioner services (fee schedule)$555.30$414.5510 of 45
11042Physician and practitioner services (fee schedule)$106.63$78.7110 of 45
11043Physician and practitioner services (fee schedule)$195.28$164.2313 of 45
11044Physician and practitioner services (fee schedule)$262.84$218.1910 of 45
11055Physician and practitioner services (fee schedule)$55.67$30.6910 of 45
11056Physician and practitioner services (fee schedule)$64.79$35.4510 of 45
11057Physician and practitioner services (fee schedule)$71.30$41.7910 of 45
11102Physician and practitioner services (fee schedule)$76.48$66.9917 of 45
11103Physician and practitioner services (fee schedule)$39.19$33.3316 of 45
11104Physician and practitioner services (fee schedule)$97.01$81.2715 of 45
11105Physician and practitioner services (fee schedule)$48.43$40.6213 of 45
11106Physician and practitioner services (fee schedule)$120.91$96.4914 of 45
11107Physician and practitioner services (fee schedule)$56.86$47.4214 of 45
11300Physician and practitioner services (fee schedule)$77.05$44.4713 of 45
11301Physician and practitioner services (fee schedule)$93.46$60.3012 of 45

Managed care in Mississippi

4 plans on record, 0 state-directed payment records, 268 published capitation cells.

Who sets the rate, line by line →

Recent rate changes and notices

NoticeStatusEffective
Late Breaking News 2026-10-01: Implementation of HCPCS Code G0330 for Outpatient Hospital Dental Rehabilitation Services Effective Date: 11/1/2026 The Division of Medicaideffective2026-11-01
Public Notice for State Plan Amendment (SPA) 26-0016 Outpatient Dental Codesproposed2026-11-01
Late Breaking News 2026-09-23: FY2027 Hospice Rates Temporarily Delayed The Mississippi Division of Medicaid (DOM) is issuing this announcement to inform providers that thproposed2026-10-01
Public Notice for State Plan Amendment (SPA) 26-0014 Hospital Returnsproposed2026-10-01
Public Notice for State Plan Amendment (SPA) 26-0021-CHIP Non-Citizen Eligibilityproposed2026-10-01
MS SPA 26-0010 All Patient Refined Diagnosis Related Groups (APR-DRG) Grouper Version Update submitted to CMSsubmitted2026-09-23
MS SPA 26-0013 Inpatient Single Case Agreement submitted to CMSsubmitted2026-09-23
MS SPA 26-0017 Biomarker submitted to CMSsubmitted2026-08-30
Public Notice for State Plan Amendment (SPA) 26-0017 Biomarkerproposed2026-08-30
MS SPA 26-0005 Incarcerated Youth submitted to CMSsubmitted2026-08-17
Admin Code filing eff. 2026-08-01: Title 23: Medicaid, Part 102: Non-Financial Requirements, Chapter 9: Residents of an Institution, Rule(s) 9.5: Inmates Potentially Eligible for Medicaid and 9.8effective2026-08-01
Admin Code filing eff. 2026-08-01: Title 23: Medicaid, Part 200: General Provider Information, Part 201: Transportation Services, Part 202: Hospital Services, Part 203: Physician Services, Part 2effective2026-08-01

Frequently asked questions

Where does Mississippi publish its Medicaid fee schedules?

Mississippi publishes rates across 40 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.

How many Medicaid rates does Mississippi publish?

30,350 rates are current across 94 services and 9 programs, with 136,753 versions on record since 1990-01-01.

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

For 20 of 22 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 Mississippi rate cardYour codes, what Mississippi pays, what plans must pay, and every change in 2026.
Medicaid rates by state