Table 3.
Medicaid fee index and Medicaid-to-Medicare fee index for services related to OUD treatment, by service type and state, as of March 2021
| State | 2021 Medicaid fee index | 2021 Medicaid-to-Medicare fee index | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| All services | Component services | All services | Component services | |||||||
| E & M | Psychotherapy | Toxicology testing | Substance use screening and psychiatric evaluation | E & M | Psychotherapy | Toxicology testing | Substance use screening and psychiatric evaluation | |||
| US | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 0.64 | 0.52 | 0.67 | 0.76 | 0.63 |
| Alabama | 0.97 | 0.97 | 1.09 | 0.91 | 0.86 | 0.65 | 0.53 | 0.75 | 0.71 | 0.53 |
| Alaska | 2.01 | 2.33 | 2.28 | 1.31 | 2.11 | 1.02 | 0.94 | 1.09 | 1.00 | 1.05 |
| Arizona | 1.35 | 1.26 | 1.46 | 1.32 | 1.36 | 0.88 | 0.67 | 0.99 | 1.01 | 0.84 |
| Arkansas | 1.28 | 0.96 | 1.46 | 1.48 | 1.32 | 0.89 | 0.55 | 1.05 | 1.21 | 0.84 |
| California | 0.78 | 0.55 | 0.74 | 0.93 | 1.01 | 0.50 | 0.27 | 0.47 | 0.72 | 0.58 |
| Colorado | 1.10 | 1.37 | 0.92 | 0.84 | 1.18 | 0.70 | 0.70 | 0.61 | 0.69 | 0.80 |
| Connecticut | 1.03 | 1.12 | 1.11 | 0.73 | 1.02 | 0.62 | 0.54 | 0.71 | 0.60 | 0.59 |
| Delaware | 1.57 | 1.60 | 1.52 | 1.67 | 1.49 | 1.03 | 0.82 | 1.00 | 1.29 | 0.99 |
| District of Columbia | 1.23 | 1.46 | 1.22 | 1.05 | 1.19 | 0.73 | 0.66 | 0.74 | 0.80 | 0.72 |
| Florida | 0.86 | 0.74 | 0.94 | 0.90 | 0.91 | 0.56 | 0.39 | 0.63 | 0.73 | 0.55 |
| Georgia | 1.11 | 0.93 | 1.21 | 1.16 | 1.13 | 0.76 | 0.51 | 0.84 | 0.89 | 0.80 |
| Hawaii | 0.91 | 0.80 | 1.14 | 0.79 | 0.91 | 0.58 | 0.39 | 0.75 | 0.61 | 0.53 |
| Idaho | 1.28 | 1.47 | 1.23 | 1.24 | 1.10 | 0.85 | 0.83 | 0.86 | 0.95 | 0.70 |
| Illinois | 0.91 | 0.68 | 1.20 | 0.79 | 1.07 | 0.60 | 0.36 | 0.82 | 0.61 | 0.65 |
| Indiana | 1.06 | 1.09 | 1.02 | 1.15 | 0.98 | 0.72 | 0.60 | 0.71 | 0.89 | 0.70 |
| Iowa | 1.36 | 1.00 | 1.74 | 1.26 | 1.43 | 0.94 | 0.55 | 1.23 | 0.98 | 1.00 |
| Kansas | 0.91 | 0.93 | 0.75 | 1.14 | 0.90 | 0.63 | 0.52 | 0.53 | 0.93 | 0.72 |
| Kentucky | 1.04 | 0.98 | 0.95 | 1.31 | 0.92 | 0.71 | 0.54 | 0.66 | 1.00 | 0.65 |
| Louisiana | 1.23 | 1.57 | 1.03 | 1.10 | 1.21 | 0.81 | 0.85 | 0.71 | 0.85 | 0.84 |
| Maine | 0.80 | 0.86 | 0.75 | 0.92 | 0.68 | 0.54 | 0.47 | 0.52 | 0.70 | 0.49 |
| Maryland | 1.40 | 1.59 | 1.52 | 0.99 | 1.60 | 0.86 | 0.79 | 1.00 | 0.75 | 0.94 |
| Massachusetts | 1.09 | 1.20 | 1.29 | 0.85 | 1.01 | 0.68 | 0.59 | 0.84 | 0.65 | 0.66 |
| Michigan | 0.87 | 0.88 | 0.78 | 1.09 | 0.74 | 0.58 | 0.47 | 0.53 | 0.83 | 0.51 |
| Minnesota | 1.26 | 1.39 | 1.20 | 1.31 | 1.13 | 0.83 | 0.73 | 0.81 | 1.00 | 0.77 |
| Mississippi | 1.21 | 1.29 | 1.20 | 1.18 | 1.12 | 0.81 | 0.73 | 0.84 | 0.90 | 0.71 |
| Missouri | 1.06 | 1.40 | 1.16 | 1.05 | 0.63 | 0.71 | 0.77 | 0.81 | 0.80 | 0.45 |
| Montana | 1.66 | 1.98 | 1.75 | 1.31 | 1.58 | 1.07 | 1.02 | 1.18 | 1.00 | 1.06 |
| Nebraska | 1.73 | 1.55 | 2.20 | 1.31 | 2.00 | 1.15 | 0.86 | 1.54 | 1.00 | 1.26 |
| Nevada | 1.15 | 0.94 | 1.18 | 1.18 | 1.28 | 0.76 | 0.48 | 0.79 | 0.91 | 0.87 |
| New Hampshire | 1.17 | 1.66 | 0.89 | 0.83 | 1.30 | 0.74 | 0.85 | 0.59 | 0.65 | 0.88 |
| New Jersey | 1.03 | 1.64 | 0.79 | 1.18 | 0.50 | 0.63 | 0.77 | 0.51 | 0.90 | 0.32 |
| New Mexico | 1.20 | 1.38 | 1.30 | 1.23 | 0.87 | 0.79 | 0.75 | 0.89 | 0.94 | 0.58 |
| New York | 0.70 | 0.80 | 0.82 | 0.30 | 0.90 | 0.42 | 0.40 | 0.54 | 0.24 | 0.53 |
| North Carolina | 1.18 | 1.16 | 1.13 | 1.27 | 1.17 | 0.80 | 0.63 | 0.78 | 0.98 | 0.82 |
| North Dakota | 1.42 | 1.60 | 1.43 | 1.31 | 1.35 | 0.94 | 0.85 | 0.97 | 1.00 | 0.93 |
| Ohio | 1.21 | 1.73 | 0.89 | 1.04 | 1.19 | 0.77 | 0.93 | 0.61 | 0.79 | 0.73 |
| Oklahoma | 1.25 | 1.40 | 1.29 | 1.17 | 1.12 | 0.84 | 0.77 | 0.89 | 0.89 | 0.77 |
| Oregon | 1.24 | 1.38 | 1.61 | 0.91 | 1.00 | 0.81 | 0.74 | 1.10 | 0.70 | 0.69 |
| Pennsylvania | 0.77 | 0.99 | 0.42 | 1.05 | 0.43 | 0.50 | 0.53 | 0.28 | 0.82 | 0.26 |
| Rhode Island | 0.83 | 0.51 | 0.89 | 1.00 | 1.00 | 0.55 | 0.26 | 0.58 | 0.79 | 0.59 |
| South Carolina | 1.51 | 1.16 | 2.04 | 1.05 | 1.60 | 0.99 | 0.64 | 1.40 | 0.79 | 1.07 |
| South Dakota | 1.13 | 1.03 | 1.25 | 1.31 | 0.74 | 0.75 | 0.55 | 0.87 | 1.00 | 0.46 |
| Texas | 1.03 | 0.72 | 1.07 | 1.31 | 0.99 | 0.70 | 0.38 | 0.73 | 1.00 | 0.66 |
| Utah | 1.02 | 1.37 | 1.04 | 1.01 | 0.66 | 0.68 | 0.74 | 0.70 | 0.78 | 0.49 |
| Vermont | 1.10 | 0.96 | 1.23 | 1.22 | 1.04 | 0.74 | 0.50 | 0.84 | 1.00 | 0.72 |
| Virginia | 1.07 | 1.03 | 1.02 | 1.32 | 0.91 | 0.72 | 0.54 | 0.69 | 1.02 | 0.61 |
| Washington | 0.90 | 0.85 | 0.77 | 1.20 | 0.80 | 0.60 | 0.43 | 0.51 | 0.92 | 0.54 |
| West Virginia | 1.10 | 1.09 | 1.01 | 1.31 | 0.98 | 0.75 | 0.60 | 0.69 | 1.00 | 0.68 |
| Wisconsin | 1.22 | 0.92 | 1.67 | 1.08 | 1.18 | 0.82 | 0.51 | 1.17 | 0.84 | 0.74 |
| Wyoming | 1.33 | 1.33 | 1.32 | 1.30 | 1.39 | 0.85 | 0.69 | 0.90 | 1.06 | 0.84 |
Sources: Authors' analysis of Medicaid physician fees posted to state websites as of March 2021; Tennessee is excluded because it does not establish fee-for-service Medicaid provider fees
Notes: E & M = Evaluation and management; Substance use screening and psychiatric evaluation includes alcohol and/or substance use structured screening and brief intervention services and psychiatric diagnostic evaluation with or without medical services. The four component services have equal weights. National average indexes are sums of state indexes, weighted by March 2021 nonelderly adult Medicaid enrollment. See methods section and Appendix Table 1 for more detail about the service weightings and fees