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Practitioner payment adjustment (percent or set amount): Medicaid rates by state

8 states publish a Medicaid rate for practitioner payment adjustment (percent or set amount), compared at the physician psychologist level. Rates range from $0.80 in Washington to $100.00 in Hawaii.

States
8
Median
—
Highest
$100.00Hawaii
Lowest
$0.80Washington

Every state, ranked

#StateRateUnitPer hourEffectiveSource
1HawaiiAny qualified provider (rate does not vary by provider)$100.00% of Medicare Fee Schedule (prior calendar year)—2024-01-01Official source
2VirginiaAny qualified provider (rate does not vary by provider)$75.00percent of max rate—2026-06-30Official source
3VermontAny qualified provider (rate does not vary by provider)$50.00——2009-01-01Official source
4KentuckyAny qualified provider (rate does not vary by provider)$45.00——2020-01-01Official source
5IdahoAny qualified provider (rate does not vary by provider)$30.00percent—2025-12-23Official source
6FloridaPhysician or licensed psychologist (incl. BCBA-D)$16.00percent of procedure code rate—2026-01-01Official source
7MontanaAny qualified provider (rate does not vary by provider)$1.11——2026-07-01Official source
8WashingtonAny qualified provider (rate does not vary by provider)$0.80——2026-07-01Official source

Frequently asked questions

Which state pays the most for practitioner payment adjustment (percent or set amount)?

Hawaii: $100.00 per % of Medicare Fee Schedule (prior calendar year).

What is the average Medicaid rate for practitioner payment adjustment (percent or set amount)?

Across 8 states the median is —, comparing the same provider level in each state.

Other Physician & professional services

Practitioner payment adjustment (percent or set amount) in your statesRates, plan rules, labor costs and changes, with alerts.
Medicaid rates by state