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Outpatient payment adjustment factor: Medicaid rates by state

10 states publish a Medicaid rate for outpatient payment adjustment factor, compared at the physician psychologist level. Rates range from $0.2071 in North Carolina to $3.90 in Indiana.

States
10
Median
—
Highest
$3.90Indiana
Lowest
$0.2071North Carolina

Every state, ranked

#StateRateUnitPer hourEffectiveSource
1IndianaAny qualified provider (rate does not vary by provider)$3.90multiplier—2026-07-01Official source
2ArizonaAny qualified provider (rate does not vary by provider)$1.37——2026-07-01Official source
3District of ColumbiaAny qualified provider (rate does not vary by provider)$1.25——2025-10-01Official source
4OregonAny qualified provider (rate does not vary by provider)$1.15Wage Index—2026-01-01Official source
5WashingtonAny qualified provider (rate does not vary by provider)$1.01——2025-04-01Official source
6FloridaAny qualified provider (rate does not vary by provider)$1.00factor—2026-07-01Official source
7UtahAny qualified provider (rate does not vary by provider)$0.8259Final Factor—2026-01-01Official source
8VermontPhysician or licensed psychologist (incl. BCBA-D)$0.803——2026-04-01Official source
9MichiganAny qualified provider (rate does not vary by provider)$0.256ratio—2025-10-01Official source
10North CarolinaAny qualified provider (rate does not vary by provider)$0.2071——2026-07-01Official source

Frequently asked questions

Which state pays the most for outpatient payment adjustment factor?

Indiana: $3.90 per multiplier.

What is the average Medicaid rate for outpatient payment adjustment factor?

Across 10 states the median is —, comparing the same provider level in each state.

Other Hospital outpatient services

Outpatient payment adjustment factor in your statesRates, plan rules, labor costs and changes, with alerts.
Medicaid rates by state