Providers who take Medicaid: What does reimbursement rates look like?

[orion.x]

Hi all,

I'm reaching out to all psychologists to see what do your reimbursements rate look like for psychological assessment (90791, 96136, 96133, etc) if you accept Medicaid? We are in CO and the rates are less than therapy. Just curious if it looks different in other states.

Thanks!

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[WisNeuro]

Hi all,

I'm reaching out to all psychologists to see what do your reimbursements rate look like for psychological assessment (90791, 96136, 96133, etc) if you accept Medicaid? We are in CO and the rates are less than therapy. Just curious if it looks different in other states.

Thanks!

It varies wildly by state. There are some states nearby that I would not take Medicaid patients from as the reimbursement is essentially 0 after accounting for testing supplies. Here 90791 is 145 per unit, 132 is 108, 136 is 36.

 

[AcronymAllergy]

The rates here are horrible. 90791 barely cracks 100-ish; the rest, particularly the test administration codes, are well below that.

 

[R. Matey]

90791 is <$100 in my state and testing codes are lower than what Wis reported above.