Finding Medicaid Payment Rates
This page shows how much the state of Minnesota pays health care providers for providing Medicaid services. In Minnesota, “Medicaid” is known as Medical Assistance.
What is this page for?
"Fee for service" is one way the state pays for health care. This means the provider is paid a fee based on the service provided. This page shows you the list of payment rates for covered services. This rate information will help you understand:
- What the state pays for a specific service
- How costs might change based on where you live, the type of provider rendering the service or your age
- Help you talk with your providers and choose the services that work best for you
Why do payment rates matter?
When you know what is covered and how much the state pays for the service, you can be more involved in your own health care decisions.
What will you find on this site?
Different types of services use different ways to calculate payment rates. Find information about how the following services calculate payment rates on the linked webpages.
Disability Waiver Rates – Describes the Disability Waiver Rate System (DWRS), how these rates were determined, and how the state updates the rates each year. It also provides tools, manuals and instructions for providers and lead agencies (counties and Tribes). Learn about rate exceptions, cost reporting and federal approvals related to the rate system.
Mental Health Rates – Describes how adult mental health services are paid for and the rules providers must follow when providing and billing for these services. It explains how rates are set, which services are included (including links to policy manuals) and who is allowed to provide them. It also offers charts and documents with service codes, maximum payment amounts and provider eligibility requirements.
Minnesota Health Care Programs Fee Schedule – Gives the Minnesota Health Care Programs (MHCP) fee schedule. This lists the amounts MHCP pays for medical, dental and other health services. It also offers links to policy manuals and guidance that help clinics, agencies and other providers bill correctly. Find state and federal rules here as well. Accept a copyright notice to view the fee schedule. Providers can search for service codes, payment limits, billing details and other information needed to submit claims successfully.
(Future) Comparative Rate Analysis – Shows payment rates for primary care, OB/GYN services and mental health in different locations throughout the state.
(Future) Payment Rate Disclosure – Shows the rates for direct support services like personal care, home health aides, homemaker care and habilitation services.