Medicaid Telehealth Rates: Which States Publish Them
Most states pay telehealth through parity policy: same code, same rate, any modality, nothing separate to publish. Just 12 states put explicit telehealth rates on their fee schedules. Here is what those look like next to the standard rate, and why the short list is the honest answer.
The Rates plan
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Every telehealth modifier row, and every other modifier variant, ships in the full-schedule CSV exports on the Rates plan.
Alcohol and/or substance abuse services, skills development
GT
$31.87
$31.87
Michigan6 published telehealth rates
Code
Service
Modifier
Telehealth rate
Standard rate
G0406
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth
GT
$24.37
$24.37
G0407
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth
GT
$42.39
$42.39
G0408
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth
GT
$61.81
$61.81
G0425
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth
GT
$54.48
$54.48
G0426
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth
GT
$76.47
$76.47
G0427
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth
GT
$108.76
$108.76
Maryland2 published telehealth rates
Code
Service
Modifier
Telehealth rate
Standard rate
97155
Adaptive behavior treatment with protocol modification (ABA), each 15 min
GT
$38.34
$38.34
H0004
Behavioral health counseling and therapy, per 15 minutes
GT
$31.06
$31.06
North Carolina2 published telehealth rates
Code
Service
Modifier
Telehealth rate
Standard rate
97802
Medical nutrition therapy, initial, each 15 minutes
GT
$23.77
$23.77
97803
Medical nutrition therapy, follow-up, each 15 minutes
GT
$20.80
$20.80
Arizona1 published telehealth rate
Code
Service
Modifier
Telehealth rate
Standard rate
T1016
Case management, each 15 minutes
GT
$21.86
$21.86
Kansas1 published telehealth rate
Code
Service
Modifier
Telehealth rate
Standard rate
90863
--
GT
$50.96
$50.96
Mississippi1 published telehealth rate
Code
Service
Modifier
Telehealth rate
Standard rate
S9470
Nutritional counseling, dietitian visit
GT
$25.25
$25.25
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. A state absent from this page publishes no telehealth-specific rates; its telehealth payment runs through standard rates and coverage policy. "--" in the service column means the code has no plain-language label in our published set yet.
Frequently asked questions
Do state Medicaid programs pay the same for telehealth as in-person visits?
Mostly yes, and that is exactly why so few publish separate telehealth rates. Most states implement payment parity as policy: the same code pays the same amount regardless of modality, so nothing extra appears on the fee schedule. Only 12 states publish telehealth-specific rates via service modifiers, and those are shown on this page next to the standard rate for the same code.
Which states publish separate Medicaid telehealth rates?
District of Columbia, South Carolina, Colorado, Wyoming, Missouri, South Dakota, Michigan, Maryland, North Carolina, Arizona, Kansas, Mississippi. Every other jurisdiction prices telehealth through its standard schedule and coverage policy rather than separate published amounts, so absence from this page does not mean telehealth is unpaid there.
What do the GT, 95, and 93 modifiers mean?
They are the service modifiers states use to price virtual care separately when they choose to: GT is the legacy interactive audio-video modifier, 95 marks synchronous telemedicine, and 93 marks audio-only services. A state publishing rates under these modifiers is stating an explicit telehealth price; a state without them relies on its parity policy.