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Table 2 Medicaid fee index and Medicaid-to-Medicare fee index, by OTP methadone bundle type and state, as of March 2021

From: Medicaid professional fees for treatment of opioid use disorder varied widely across states and were substantially below fees paid by medicare in 2021

State

2021 Medicaid fee index

2021 Medicaid-to-Medicare fee index

Regular Methadone Bundle Fee

Regular Methadone Bundle Fee and Additional Payments

Regular Methadone Bundle Fee

US

1.00

1.00

0.56

Alabama

0.92

0.77

0.59

Alaska

1.90

2.23

0.94

Arizona

0.72

1.31

0.45

Arkansas

n.d.

n.d.

n.d.

California

0.77

0.64

0.45

Colorado

1.37

1.37

0.83

Connecticut

0.71

0.60

0.41

Delaware

n.d.

n.d.

n.d.

District of Columbia

1.03

1.55

0.56

Florida

0.52

0.44

0.32

Georgia

0.94

0.79

0.60

Hawaii

n.d.

n.d.

n.d.

Idaho

n.d.

n.d.

n.d.

Illinois

0.90

1.09

0.56

Indiana

0.87

0.73

0.56

Iowa

1.53

1.29

0.99

Kansas

n.d.

n.d.

n.d.

Kentucky

0.81

0.68

0.52

Louisiana

0.88

0.74

0.56

Maine

0.63

0.80

0.40

Maryland

1.10

1.10

0.66

Massachusetts

1.01

1.36

0.59

Michigan

n.d.

n.d.

n.d.

Minnesota

0.72

0.61

0.45

Mississippi

n.d.

n.d.

n.d.

Missouri

0.41

0.34

0.26

Montana

0.96

0.81

0.59

Nebraska

1.53

1.29

1.00

Nevada

0.94

1.00

0.57

New Hampshire

1.41

1.18

0.85

New Jersey

0.70

0.59

0.40

New Mexico

0.93

0.78

0.59

New York

1.60

1.34

0.95

North Carolina

1.35

1.66

0.85

North Dakota

1.60

1.34

1.00

Ohio

1.46

1.73

0.92

Oklahoma

n.d.

n.d.

n.d.

Oregon

1.14

1.54

0.71

Pennsylvania

0.91

1.41

0.57

Rhode Island

0.67

0.91

0.40

South Carolina

0.79

0.66

0.51

South Dakota

n.d.

n.d.

n.d.

Texas

1.13

0.95

0.71

Utah

0.87

1.17

0.55

Vermont

0.81

0.91

0.50

Virginia

1.03

1.26

0.63

Washington

0.85

0.72

0.52

West Virginia

0.81

0.68

0.52

Wisconsin

1.45

1.50

0.93

Wyoming

n.d.

n.d.

n.d.

  1. Sources: Authors' analysis of Medicaid physician fees posted to state websites as of March 2021; Tennessee is excluded because it does not establish fee-for-service Medicaid provider fees
  2. Note: n.d. = no data, either data not available or service not covered; Medicare 2021 national rate; OHH = Opioid Health Home. No data was available for any relevant payment for Arkansas, Hawaii, Idaho, Kansas, Michigan (except OHH payments), Oklahoma, South Dakota, and Wyoming. The additional services in the weekly bundle with additional services are care coordination, health home, and/or center of excellence services. See Table 1 for services included in each bundle type, by state. National average indexes are sums of state indexes, weighted by March 2021 nonelderly adult Medicaid enrollment