Every state, kept current
The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full New York state-specific services schedule has 37 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Published codes
37
state-specific and temporary HCPCS codes on the 2026 schedule
Median % of Medicare
60%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common state-specific and temporary HCPCS codes and what New York Medicaid pays
A curated sample of recognizable procedures from the 37-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 | New York rate | % of Medicare |
|---|
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 New York Medicaid fee schedules
- New York Medicaid fee schedule 2026, all categories
- New York physician fee schedule · 6,167 codes
- New York dme & supplies fee schedule · 1,599 codes
- New York lab & imaging fee schedule · 627 codes
- New York vision fee schedule · 99 codes
- New York hearing fee schedule · 22 codes
- New York transport fee schedule · 20 codes
State-Specific Services rates in neighboring states
Frequently asked questions
What does New York Medicaid pay for state-specific and temporary HCPCS services?
New York Medicaid publishes 37 state-specific and temporary HCPCS code rates effective 2026, paying a median 60% of the national Medicare amount for the same services. The schedule covers clinic and screening encounters, telehealth facility fees, personal care, and other C, Q, S and T 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 New York's state-specific services rates compare with Medicare?
Across state-specific services codes with a national Medicare comparator, New York Medicaid pays a median 60% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do state-specific and temporary HCPCS services need prior authorization in New York?
New York does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from New York'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.