The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Missouri other services schedule has 603 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
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Published codes
603
Other Services procedures on the 2026 schedule
Median % of Medicare
88.2%
vs national Medicare, GPCI-neutral
PA required
11
+51 conditional or varies
Common other services procedures and what Missouri Medicaid pays
A curated sample of recognizable procedures from the 603-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Missouri rate | % of Medicare |
|---|---|---|---|
| S5125 | Attendant care services; per 15 minutes | $10.88* | -- |
| T1015 | Clinic visit/encounter, all-inclusive | $40.60 | -- |
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $10.13 | -- |
| T2021 | Day habilitation, waiver; per 15 minutes | $12.41 | -- |
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 * show the schedule's representative published variant.
More Missouri Medicaid fee schedules
- Missouri physician fee schedule · 6,776 codes
- Missouri lab & imaging fee schedule · 2,806 codes
- Missouri dme & supplies fee schedule · 1,621 codes
- Missouri anesthesia fee schedule · 275 codes
- Missouri vision fee schedule · 147 codes
- Missouri behavioral health fee schedule · 61 codes
Other Services rates in neighboring states
Frequently asked questions
What does Missouri Medicaid pay for other covered services?
Missouri Medicaid publishes 603 other services procedure rates effective 2026, paying a median 88.2% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Missouri's other services rates compare with Medicare?
Across other services codes with a national Medicare comparator, Missouri Medicaid pays a median 88.2% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do other services services need prior authorization in Missouri?
Missouri publishes prior-authorization flags on its schedule: 11 other services codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Missouri's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Missouri changes these rates.