New York Medicaid Fee Schedule

New York publishes 8,591 Medicaid fee-for-service rates across 8 service categories. Pooled across categories with a national Medicare comparator, New York's published rates run a median 96.3% of the Medicare amount, ranking 12 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes New York 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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New York'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 New York publish a Medicaid fee schedule?

Yes. New York publishes 8,591 Medicaid fee-for-service procedure rates across 8 service categories, all collected and normalized here with plain-language procedure names.

How do New York's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, New York's published rates run a median 96.3% of the Medicare amount, ranking 12 of 49 jurisdictions with a comparable basis.

What service categories does New York publish?

Physician (6,167 codes), DME & Supplies (1,599 codes), Lab & Imaging (627 codes), Vision (99 codes), Other Services (37 codes), Hearing (22 codes), Transport (20 codes), Behavioral Health (20 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from New York'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.