Skip to main content

Medicaid covers health services for millions of America’s most vulnerable patient populations, including those who depend on physical therapy.

Medicaid is the nation's public health insurance program for eligible low-income people, families and children, pregnant women, the elderly, and people with disabilities.

While the federal government sets rules, regulations, and policies, each state administers its own program, establishing eligibility standards, setting payment rates, and determining the type, amount, duration, and scope of services. Some beneficiaries are enrolled in both Medicare and Medicaid and are referred to as "dually eligible."

Federal and state spending on Medicaid beneficiaries is often a target for legislators who are intent on controlling health care costs. As an optional benefit in states, physical therapist services are often in line to be cut or eliminated. In addition, Medicaid programs may contract with third-party administrators to perform utilization management and review of physical therapy services. While the intention of UM services is to improve cost effectiveness in health services, working with third-party administrators can be challenging.

APTA Members: Download the APTA State Medicaid Payment Rate Guide designed to provide you with information on the Medicaid fee-for-service payment rates for PT services provided by the various state Medicaid programs.


Recommended Content

APTA State Medicaid Payment Rate Guide

Jun 5, 2023

To improve health equity, APTA supports national, state, and local efforts to expand access and increase payment for physical therapist services for Medicaid beneficiaries.

Medicaid Enrollment Requirements

May 4, 2020 / Article

Medicaid and Children's Health Insurance Plan Managed Care

Jan 11, 2019 / Comment Letters

Alternative Payment Models Under Medicaid

Feb 17, 2020 / Article

Medicaid Advocacy

Jan 1, 2020

Medicaid should put patients first.


Additional Medicaid Payment Content

APTA State Medicaid Guide Updated

Apr 10, 2024 / News

An expansive member benefit that helps PTs and PTAs understand and participate in Medicaid (and advocate for change) now includes 2024 data.

CPT Codes for Caregiver Training Without Patient Present

Mar 27, 2024 / Resource

The 2024 Medicare Physician Fee Schedule added three CPT codes for providing caregiver education in the interest of an individual or a group of patients without the patient present.

New Member Benefit Provides Medicaid Payment Information

Jun 16, 2023 / News

APTA's State Medicaid Payment Rate Guide is an expansive resource that can help members understand and participate in the program.

Proposed Medicaid, Final ACA Rules Continue APTA-Supported Focus on Care Access

May 12, 2023 / News

HHS responded to calls for better continuity of care, increased program transparency, and stronger consumer engagement.

The End of the Public Health Emergency: What You Need to Know

Mar 29, 2023 / Article

Don't let the May 11 end of the PHE take you by surprise: Here's a rundown of where things will stand — and how you might be affected.

Payment and Regulatory Update: Nov. 30, 2022

Nov 30, 2022 / Members Only

Topics discussed: 2023 Medicare Fee Schedule, 2023 Home Health Rule, Commercial Payer Update.

Advocating for Coverage: Template Letters

Jan 14, 2022 / Open Access

Access a variety of template letters you and your patients can use when your patient is denied coverage, the services approved are inadequate, or care is delayed, and a utilization management company is involved.

Proposed 9% cut: the history, what we're doing, and your role in the fight.

Aug 24, 2020 / Open Access

The proposed 9% cut: where it came from, what we’re doing, and the importance of your voice.

Navigating Health Coverage During a Pandemic: Three Options

May 21, 2020 / Perspective

Due to COVID-19 millions of people have lost their jobs and consequently lost their health coverage. What happens then?

Your Questions Answered

Dec 1, 2019 / Column

Use the information and resources here to get the details you need on regulatory compliance and related legal issues.