District of Columbia Medicaid Fee Schedule

District of Columbia publishes 11,814 Medicaid fee-for-service rates across 9 service categories. Pooled across categories with a national Medicare comparator, District of Columbia's published rates run a median 88.5% of the Medicare amount, ranking 16 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes District of Columbia schedules export as CSV with the Rates plan.

  • Every code on all 51 published schedules
  • Full-schedule CSV export
  • Full state Medicaid dental network lists
  • Email alerts when a state changes its rates
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District of Columbia's published schedules by category

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.

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Frequently asked questions

Does District of Columbia publish a Medicaid fee schedule?

Yes. District of Columbia publishes 11,814 Medicaid fee-for-service procedure rates across 9 service categories, all collected and normalized here with plain-language procedure names.

How do District of Columbia's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, District of Columbia's published rates run a median 88.5% of the Medicare amount, ranking 16 of 49 jurisdictions with a comparable basis.

What service categories does District of Columbia publish?

Physician (6,530 codes), Lab & Imaging (1,998 codes), DME & Supplies (1,711 codes), Drugs (868 codes), Other Services (454 codes), Vision (160 codes), Behavioral Health (68 codes), Transport (17 codes), Hearing (8 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from District of Columbia's currently published fee schedules and are re-collected on a rolling monthly cadence, so most schedules here are effective 2026. This page updates automatically after each collection sweep.