A0120 Medicaid Rate by State

Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems

19 state Medicaid programs publish a fee-for-service rate for A0120 (non-emergency transportation: mini-bus, mountain area transports, or other transportation systems), ranging from $1.00 in Delaware to $200.00 in Minnesota.

Every state, kept current

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This page shows one representative rate per state for A0120. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

19

Median % of Medicare

--

Rate range

$1.00 - $200.00

A0120 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$1.39----2026
Arizona$7.27----2025
California$17.65----2026
Colorado$7.25*----2026
District of Columbia$16.50--Required2006
Delaware$1.00----2026
Hawaii$107.00----2025
Kansas$12.50----2009
Minnesota$200.00----2016
Mississippi$15.00*----2018
North Dakota$18.05--Not required2026
Nebraska$123.09----2026
New York$40.00----2026
South Dakota$5.20----2026
Utah$11.00*--Required2003
Virginia$3.89----2018
Vermont$77.98----2026
Wisconsin$12.59----2022
West Virginia$9.00----2026

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related transport codes

All 22 codes from A0080 to A0998 or every transport code by number.

Frequently asked questions

How much does Medicaid pay for A0120?

19 state Medicaid programs publish a fee-for-service rate for A0120 (non-emergency transportation: mini-bus, mountain area transports, or other transportation systems), ranging from $1.00 in Delaware to $200.00 in Minnesota. The full table on this page lists every publishing state's current rate.

Which state pays the most for A0120?

Minnesota publishes the highest Medicaid rate for A0120 at $200.00. Delaware publishes the lowest at $1.00.

Does A0120 require prior authorization under Medicaid?

2 of the 19 publishing states flag A0120 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".