NNoShowLine

50 states + District of Columbia · Updated October 2026

Is it legal to charge a no-show fee? Rules by state

In most states, a private-pay or commercially insured patient can be charged a reasonable no-show fee when it is disclosed in advance, applied consistently, and never billed to insurance as care. Medicaid generally prohibits the charge; Medicare allows it only under CMS's equal-treatment rule. This page replaces 51 near-identical state doorways with one table, both federal rules, and California's added CMIA requirement.

Short answer

Private-pay or commercially insured: often allowed, if disclosed in writing in advance, reasonable, and applied consistently. Medicaid: generally not for members; verify the current state manual. For patients with both Medicare and Medicaid, check dual-eligibility guidance separately, including the California guidance. Medicare: allowed only under CMS's narrow equal-treatment rule (see below). None of this is legal advice; check your state and payer before charging.

Jump to state tableCalifornia + CMIA

National baseline in this dataset

“Generally allowed” still has five separate gates.

01

Advance disclosure

Put the rule in writing before the appointment and preserve acceptance.

02

Reasonable amount

Do not treat the full estimated loss as an automatic patient charge.

03

Payer status

Never submit the fee to insurance; check Medicaid and contracts.

04

Authorization

Explain deposit forfeiture and obtain authorization for card-on-file charges.

05

Access + privacy

Apply exceptions and minimum-necessary reminder content under human review.

Medicaid warning: every record in the supplied dataset advises against charging beneficiaries or directs providers to federal/state program rules. Verify the current manual and provider agreement; do not infer permission from a private-pay rule. 9 states have a sourced Medicaid citation; 42 are marked Not reviewed. The table marks each row accordingly.

High-confidence record · CA

California: Medi-Cal and CMIA require explicit attention.

California is the only record marked high confidence in this 51-jurisdiction dataset. Confidence means this record contains more state-specific detail; it is not a guarantee that the law has not changed.

Fee context
Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. Check Medi-Cal program and provider-agreement restrictions before charging; patients with both Medicare and Medi-Cal require a separate dual-eligibility review.
Medi-Cal
For Medi-Cal-only patients, check the applicable program manual and provider agreement; do not infer permission from Medicare rules. For patients with both Medicare and Medi-Cal, DHCS says certain administrative fees, including missed appointments, are not prohibited by federal guidance if the missed-appointment charge is the same as for non-Medicare patients. This does not override other state, plan or provider-agreement restrictions. DHCS guidance for people with Medicare and Medi-Cal
CMIA privacy
CMIA (Confidentiality of Medical Information Act) applies to healthcare providers' handling of medical information in addition to HIPAA; appointment reminders should limit disclosed details accordingly.
Deposits and cards
State consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.

Federal rule, not a state one

Medicare and Medicaid follow different rules.

CMS policy (Medicare Claims Processing Manual, Chapter 1, Section 30.3.13) permits billing a traditional Medicare Part B patient directly for a missed appointment, but only when the same fee and policy apply equally to Medicare and non-Medicare patients, the charge is billed to the patient and never submitted to Medicare, and it is treated as a charge for a missed business opportunity rather than a covered service. Medicaid rules must be checked separately: Texas prohibits billing the program or the patient for missed appointments, and New York's dental Medicaid manual also covers canceled appointments. Patients with both Medicare and Medicaid need a separate check, including the California guidance above. Do not apply one program's rule to the other.

Source: CMS Claims Processing Manual, Ch. 1 §30.3.13 (PDF)

Medicaid, in depth

Can you charge Medicaid patients a no-show fee?

Generally no. A missed appointment is not a covered service that was delivered, so there is no claim to submit for it, and most states' Medicaid provider manuals separately instruct providers not to bill a member directly for a missed visit. Below is the federal baseline, a state-by-state table that is honest about which rows have been checked against an actual state manual, and what to do instead of a fee.

The federal baseline: 42 CFR 447.15

42 CFR 447.15 requires a state Medicaid plan to limit program participation to providers who accept, as payment in full, the amounts the Medicaid agency pays (plus any deductible, coinsurance, or copayment the state plan permits) for covered services. By its own text, 447.15 governs a covered service that was actually delivered; a missed appointment is not one, so 447.15 does not by itself name no-show fees. Two CMS sub-regulatory letters (1994 and 2006) fill that gap, stating that a missed appointment is "part of providers' overall costs of doing business" rather than a separately billable service, and several states' own manuals (see the table below) cite 447.15 directly when they bar a "missed appointment fee" as a form of cost-sharing. Enforcement in practice runs through each state's provider manual and provider agreement, not through 447.15 alone.

Source: 42 CFR 447.15 (eCFR)

What to do instead of a Medicaid no-show fee

Document the missed visit, follow up with a two-way confirmation or reminder instead of a charge, and use the same evidence-based cadence described in how to reduce no-shows. Reserve a private-pay fee, where your state and payer rules allow one, for patients who are not Medicaid members for that visit.

For clinics: a Medicaid member should get a reminder, not a charge. Ask for a reply instead: a two-way confirmation lets a patient answer CONFIRM or RESCHEDULE before the slot is lost. Use the reminder templates or run your own numbers. If you use NoShowLine, mark these appointments “No deposit” so the confirmation states that no deposit is required.

Medicare follows a different, narrower rule; see the federal-rule section above before applying either program's rule to the other.

Medicaid plus other coverage: Colorado's Medicaid agency says members who also hold Medicare or a commercial plan as primary payer may be charged under that plan's rules, while Medicaid-only members may not. This is one state's stated policy, not blanket permission; confirm your own state's manual.

State-by-state: has this state's Medicaid manual been checked?

Only the rows below with a real citation have been individually fetched and read from that state's Medicaid provider manual or a provider bulletin. Every other state is marked "Not reviewed" — that is not evidence either way, only an honest gap. Verify directly with your state Medicaid agency before making a billing decision.

StateStatusCitationLast checked
AlabamaALNot reviewedVerify with your state Medicaid agency.—
AlaskaAKNot reviewedVerify with your state Medicaid agency.—
ArizonaAZNot reviewedVerify with your state Medicaid agency.—
ArkansasARNot reviewedVerify with your state Medicaid agency.—
CaliforniaCANot reviewedVerify with your state Medicaid agency.—
ColoradoCOProhibited per manual

"charging a fee to Health First Colorado members who do not have other health plan coverage is not permitted." Providers also cannot ask members to sign forms accepting financial liability for missed appointments. Exception stated by the agency: members who also have Medicare or commercial primary coverage may be charged under that plan's rules (for Medicare, the same fee applied equally with advance notice).

Colorado HCPF Policy Statement: Charging Members For Missed Appointments2026-10-04
ConnecticutCTNot reviewedVerify with your state Medicaid agency.—
DelawareDENot reviewedVerify with your state Medicaid agency.—
District of ColumbiaDCNot reviewedVerify with your state Medicaid agency.—
FloridaFLProhibited per manual

"Providers may not seek reimbursement from recipients for missed appointments" (rule); the incorporated provider handbook adds: "Medicaid considers a missed appointment to be part of the provider's overall cost of doing business."

Fla. Admin. Code R. 59G-1.050(2)(b); Florida Medicaid Provider General Handbook2026-09-06
GeorgiaGAProhibited per manual

"Provider Charges: Medicaid Providers cannot charge members for the following: Missed appointments, Claim Preparation, Completion of forms ..."

Georgia Medicaid (Gainwell Technologies) Part 1 Policy Review, July 20212026-09-06
HawaiiHINot reviewedVerify with your state Medicaid agency.—
IdahoIDNot reviewedVerify with your state Medicaid agency.—
IllinoisILProhibited per manual

"Can an enrolled provider charge an HFS customer for missing appointments? ... No ... missed appointments are not a distinct, reimbursable Medicaid service ... may not be billed a no-show fee under any circumstances."

Illinois HFS: Customer Liability and Co-payments Q&A2026-09-06
IndianaINNot reviewedVerify with your state Medicaid agency.—
IowaIANot reviewedVerify with your state Medicaid agency.—
KansasKSNot reviewedVerify with your state Medicaid agency.—
KentuckyKYNot reviewedVerify with your state Medicaid agency.—
LouisianaLANot reviewedVerify with your state Medicaid agency.—
MaineMENot reviewedVerify with your state Medicaid agency.—
MarylandMDNot reviewedVerify with your state Medicaid agency.—
MassachusettsMANot reviewedVerify with your state Medicaid agency.—
MichiganMINot reviewedVerify with your state Medicaid agency.—
MinnesotaMNNot reviewedVerify with your state Medicaid agency.—
MississippiMSNot reviewedVerify with your state Medicaid agency.—
MissouriMONot reviewedVerify with your state Medicaid agency.—
MontanaMTNot reviewedVerify with your state Medicaid agency.—
NebraskaNENot reviewedVerify with your state Medicaid agency.—
NevadaNVNot reviewedVerify with your state Medicaid agency.—
New HampshireNHNot reviewedVerify with your state Medicaid agency.—
New JerseyNJNot reviewedVerify with your state Medicaid agency.—
New MexicoNMNot reviewedVerify with your state Medicaid agency.—
New YorkNYProhibited per manual

"No Show/Missed Appointments: The federal Centers for Medicare and Medicaid Services (CMS) have prohibited state Medicaid programs from allowing providers to bill Medicaid enrollees for missed appointments."

NYS Medicaid Update, September 2009, Vol. 25 No. 112026-09-06
North CarolinaNCProhibited per manual

"Providers may NOT bill Medicaid beneficiaries for missed appointments." Cites 42 CFR 447.15 plus two CMS sub-regulatory letters (1994, 2006) as controlling authority; a missed appointment is treated as part of the provider's cost of doing business, not a distinct reimbursable service.

NC Medicaid: Provider Billing of Medicaid Beneficiaries (10A NCAC 22J .0106)2026-09-06
North DakotaNDNot reviewedVerify with your state Medicaid agency.—
OhioOHProhibited per manual

"In accordance with 42 C.F.R. 447.15 ... the medicaid payment for a covered service constitutes payment-in-full ... nor shall the provider ask a medicaid recipient to share in the cost through a deductible, coinsurance, co-payment, missed appointment fee or other similar charge."

Ohio Administrative Code Rule 5160-1-13.1, Medicaid recipient liability2026-09-06
OklahomaOKNot reviewedVerify with your state Medicaid agency.—
OregonORNot reviewedVerify with your state Medicaid agency.—
PennsylvaniaPANot reviewedVerify with your state Medicaid agency.—
Rhode IslandRINot reviewedVerify with your state Medicaid agency.—
South CarolinaSCNot reviewedVerify with your state Medicaid agency.—
South DakotaSDNot reviewedVerify with your state Medicaid agency.—
TennesseeTNNot reviewedVerify with your state Medicaid agency.—
TexasTXProhibited per manual

"Providers cannot bill Texas Medicaid or Medicaid clients for missed appointments or failure to keep an appointment. Only claims for services rendered are considered for payment."

Texas Medicaid Provider Procedures Manual, Vol. 1, §6.1 Claims Filing2026-09-06
UtahUTNot reviewedVerify with your state Medicaid agency.—
VermontVTNot reviewedVerify with your state Medicaid agency.—
VirginiaVANot reviewedVerify with your state Medicaid agency.—
WashingtonWAProhibited per manual

Washington Health Care Authority provider FAQ answers "No" to whether Apple Health (Medicaid) clients can be billed for missed appointment fees.

Washington HCA, Billing a Client FAQ (provider webinar)2026-10-04
West VirginiaWVNot reviewedVerify with your state Medicaid agency.—
WisconsinWINot reviewedVerify with your state Medicaid agency.—
WyomingWYNot reviewedVerify with your state Medicaid agency.—

Medicaid FAQ

Can you charge a no-show fee to Medicaid patients?

Generally no. A provider that participates in Medicaid agrees to accept the program's payment as payment in full for covered services (42 CFR 447.15); most state Medicaid provider manuals extend that principle to missed appointments and direct providers not to bill members for them. The exact wording and enforcement mechanism is set by each state's manual, not by 447.15 alone, which is why the table below distinguishes rows that have been verified against a state manual from rows that have not.

Can you charge Medicaid patients a no-show fee?

Same question as above. Check your state's specific Medicaid provider manual or provider bulletin before billing a member for a missed visit; do not assume a private-pay no-show policy extends to Medicaid patients.

Is there a Medicaid no-show fee?

Not as a standard, billable line item. Missed appointments are not a covered service that was delivered, so there is nothing to submit a claim for, and most states' Medicaid manuals separately instruct providers not to charge members directly for missed visits.

What does CMS say about billing Medicaid beneficiaries for no-shows?

CMS's payment-in-full rule (42 CFR 447.15) requires a participating provider to accept the Medicaid agency's payment as payment in full for covered services and not bill the beneficiary beyond any permitted cost-sharing. States implement and enforce the no-show-specific instruction through their own provider manuals and provider agreements, not through 447.15's text directly.

Which states allow charging Medicaid patients for missed appointments?

See the table below. Only rows marked with a real citation have been individually verified against that state's provider manual; every other row is marked "not reviewed" and should not be read as permission.

This is general information about federal Medicaid billing rules and state provider manuals, not legal advice, and no part of this page has been reviewed by a lawyer. Rules, provider agreements, and enforcement change; verify current requirements with your state Medicaid agency before making a billing decision.

Medium-confidence records with specific flags

Do not miss the exceptions inside the general rule.

New York NY

Full record

Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. Proposed legislation in the 2025-2026 session sought to limit physician missed appointment fees in cases with patient notice or excessive waits; verify current enacted law.

State-specific record
New York State Medicaid guidance states that beneficiaries cannot be billed for failed appointments except for required copayments; charging for missed appointments is unlawful.

Texas TX

Full record

Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. Workers' compensation patients may not be charged fees for missed appointments under the Texas Labor Code.

State-specific record
Texas Medicaid does not allow patients to be billed for missed appointments; providers should consider transportation barriers and follow program guidance rather than charging.

Massachusetts MA

Full record

Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. State Medicaid enforcement actions have addressed improper billing of MassHealth patients for no-shows.

Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.

Colorado CO

Full record

Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. The state Medicaid program explicitly prohibits charging members for missed appointments.

State-specific record
Federal and state policy (Health First Colorado) explicitly prohibit charging Medicaid members for missed or canceled appointments; providers cannot hold members financially liable or require liability forms.

All state records

State no-show fee, Medicaid, deposit, privacy, and market table

51 records: 1 high confidence and 50 medium confidence. Expand a row for the full text of every field in the source dataset.

Draft the policy
StatePrivate-pay / commercial feeMedicaidConfidenceFull record
AlabamaALPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextBirmingham and Huntsville metros are primary centers with moderate practice density; lower cost of living than coastal states may support more modest typical deposits.
AlaskaAKPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextPopulation and practices heavily concentrated in Anchorage metro; sparse rural coverage elsewhere with higher logistical and travel costs for patients that can influence no-show patterns and deposit sizing.
ArizonaAZPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextPhoenix and Tucson metros feature growing retiree and snowbird populations that support higher volumes of elective dermatology, med spa, and dental practices; moderate cost of living.
ArkansasARPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextLittle Rock is the dominant center with lower overall practice density and cost of living compared to national coastal averages.
CaliforniaCAPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).State-specific record
For Medi-Cal-only patients, check the applicable program manual and provider agreement; do not infer permission from Medicare rules.		high
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. Check Medi-Cal program and provider-agreement restrictions before charging; patients with both Medicare and Medi-Cal require a separate dual-eligibility review.
MedicaidState-specific record
For Medi-Cal-only patients, check the applicable program manual and provider agreement; do not infer permission from Medicare rules. For patients with both Medicare and Medi-Cal, DHCS says certain administrative fees, including missed appointments, are not prohibited by federal guidance if the missed-appointment charge is the same as for non-Medicare patients. This does not override other state, plan or provider-agreement restrictions.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyCMIA (Confidentiality of Medical Information Act) applies to healthcare providers' handling of medical information in addition to HIPAA; appointment reminders should limit disclosed details accordingly.
Market contextLos Angeles, San Francisco Bay Area, and San Diego metros have high densities of dermatologists, med spas, specialty dentists, and salons; elevated cost of living often supports larger typical deposits for elective and high-value services.
ColoradoCOPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).State-specific record
Federal and state policy (Health First Colorado) explicitly prohibit charging Medicaid members for missed or canceled appointments; providers cannot hold members financially liable or require liability forms.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. The state Medicaid program explicitly prohibits charging members for missed appointments.
MedicaidState-specific record
Federal and state policy (Health First Colorado) explicitly prohibit charging Medicaid members for missed or canceled appointments; providers cannot hold members financially liable or require liability forms.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextDenver metro and Front Range corridor have significant practice density with moderate-to-high cost of living that can affect typical deposit amounts for appointment-based services.
ConnecticutCTPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextHartford-New Haven and Fairfield County areas have dense suburban and urban practices serving higher-income populations with elevated cost of living.
DelawareDEPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextWilmington and Dover areas with moderate density; proximity to larger Philadelphia and Baltimore markets influences patient flows and practice economics.
District of ColumbiaDCPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).State-specific record
Federal CMS policy and the District Medicaid program generally prohibit providers from charging beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidState-specific record
Federal CMS policy and the District Medicaid program generally prohibit providers from charging beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services.
Deposit / consumerConsumer protection requirements generally mandate clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextHigh density of medical, dental, and specialty practices in the District and surrounding metro serving a large professional, government, and transient population with elevated urban costs.
FloridaFLPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextMiami, Orlando, Tampa, and Jacksonville metros have large retiree and tourism-driven markets with high concentrations of cosmetic dermatology, med spas, and elective dental/salon practices.
GeorgiaGAPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextAtlanta metro dominates with high practice density across specialties; growing suburban markets and moderate cost of living.
HawaiiHIPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextHonolulu and other island population centers; high cost of living and tourism-driven demand for elective services such as med spas and cosmetic dentistry.
IdahoIDPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextBoise metro is the main concentration; overall lower practice density and cost of living in a more rural state.
IllinoisILPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextChicago metro has one of the highest concentrations of specialty and general practices serving dense urban and suburban populations with moderate-to-high operating costs.
IndianaINPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextIndianapolis metro and other mid-sized cities with solid practice density; lower cost of living relative to coastal markets.
IowaIAPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextDes Moines and Cedar Rapids/Iowa City areas; lower practice density outside major centers and lower cost of living.
KansasKSPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextWichita and Kansas City metro (KS side) with moderate density; lower cost of living and more rural character outside urban cores.
KentuckyKYPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextLouisville and Lexington metros; moderate density with lower cost of living than many larger coastal states.
LouisianaLAPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextNew Orleans and Baton Rouge metros with notable practice presence; lower cost of living in many areas.
MaineMEPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextPortland and southern Maine concentration; lower overall density and rural character with lower cost of living.
MarylandMDPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextBaltimore and Washington DC suburbs have high practice density serving dense professional populations with elevated costs in many areas.
MassachusettsMAPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. State Medicaid enforcement actions have addressed improper billing of MassHealth patients for no-shows.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextBoston metro has very high density of specialty practices including dermatology and med spas; high cost of living supports larger deposits in many elective services.
MichiganMIPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextDetroit metro and Grand Rapids have significant practice concentrations; mixed urban/suburban markets with moderate costs.
MinnesotaMNPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. Provider agreements for the state Medicaid program (MHCP) prohibit charging beneficiaries for missed appointments.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextMinneapolis-St. Paul metro has high practice density; moderate-to-high cost of living in a major healthcare hub.
MississippiMSPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextJackson metro primary center; lower practice density and lower cost of living in a more rural state.
MissouriMOPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextSt. Louis and Kansas City metros; moderate density with lower cost of living than coastal markets.
MontanaMTPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextLow overall practice density outside Billings and Bozeman; rural character and lower cost of living.
NebraskaNEPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextOmaha and Lincoln metros; moderate density with lower cost of living.
NevadaNVPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextLas Vegas metro has high concentration of med spas, cosmetic dermatology, and elective practices driven by tourism and local demand; moderate cost of living in key areas.
New HampshireNHPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextManchester-Nashua and southern NH concentration near Boston; moderate density with lower cost of living than Massachusetts.
New JerseyNJPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextNorthern NJ (Newark, Jersey City) and central/south Jersey areas form part of the dense NYC-Philadelphia corridor with high practice density and elevated costs.
New MexicoNMPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextAlbuquerque metro primary; lower density overall and lower cost of living with significant rural areas.
New YorkNYPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).State-specific record
New York State Medicaid guidance states that beneficiaries cannot be billed for failed appointments except for required copayments; charging for missed appointments is unlawful.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. Proposed legislation in the 2025-2026 session sought to limit physician missed appointment fees in cases with patient notice or excessive waits; verify current enacted law.
MedicaidState-specific record
New York State Medicaid guidance states that beneficiaries cannot be billed for failed appointments except for required copayments; charging for missed appointments is unlawful.
Deposit / consumerNew York Attorney General guidance indicates that credit card preauthorization or card-on-file may be required for non-medically necessary elective services but is generally voluntary for medically necessary care; clear disclosure and authorization remain required under consumer protection rules.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextNew York City metro has one of the highest concentrations of specialists, dermatologists, med spas, and appointment-based practices in a high-cost, high-competition urban environment.
North CarolinaNCPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextCharlotte, Raleigh-Durham, and Triangle area have strong growth and high practice density; moderate cost of living with expanding suburban markets.
North DakotaNDPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextFargo and Bismarck primary centers; very low practice density outside urban areas and lower cost of living.
OhioOHPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextCleveland, Columbus, Cincinnati, and Dayton metros provide high practice density across a large state with mixed urban and suburban markets and moderate costs.
OklahomaOKPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextOklahoma City and Tulsa metros; moderate density with lower cost of living.
OregonORPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextPortland metro dominates with high practice density; higher cost of living in urban areas.
PennsylvaniaPAPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextPhiladelphia and Pittsburgh metros plus Harrisburg and Allentown areas provide high practice density across a large population with varied cost structures.
Rhode IslandRIPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextProvidence metro serves the small state with high practice density relative to size and elevated costs in the Northeast corridor.
South CarolinaSCPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextCharleston, Columbia, and Greenville-Spartanburg areas with growing practice density; lower cost of living than many Northeast or West Coast states.
South DakotaSDPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextSioux Falls and Rapid City primary; low overall density and lower cost of living in a rural state.
TennesseeTNPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextNashville, Memphis, and Knoxville-Chattanooga metros have strong practice density with growing healthcare and elective service sectors; moderate cost of living.
TexasTXPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).State-specific record
Texas Medicaid does not allow patients to be billed for missed appointments; providers should consider transportation barriers and follow program guidance rather than charging.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. Workers' compensation patients may not be charged fees for missed appointments under the Texas Labor Code.
MedicaidState-specific record
Texas Medicaid does not allow patients to be billed for missed appointments; providers should consider transportation barriers and follow program guidance rather than charging.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextDallas-Fort Worth, Houston, Austin, and San Antonio are large, fast-growing markets with diverse patient mix, significant self-pay/high-deductible populations, and high volumes of elective and specialty practices.
UtahUTPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextSalt Lake City metro dominates with high growth and practice density; moderate cost of living with strong family and professional demographics.
VermontVTPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextBurlington and Chittenden County concentration; low overall density and rural character with moderate costs.
VirginiaVAPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextNorthern Virginia (DC suburbs), Richmond, and Hampton Roads have high practice density serving dense professional and military populations with elevated costs in many areas.
WashingtonWAPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextSeattle-Tacoma metro has very high practice density in tech and professional corridors; high cost of living supports larger deposits for many services.
West VirginiaWVPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
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No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextCharleston and Huntington areas; lower overall density and lower cost of living in a more rural, mountainous state.
WisconsinWIPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextMilwaukee and Madison metros with solid practice density; moderate cost of living.
WyomingWYPractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them).Federal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services.		medium
Open all fields
No-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care.
MedicaidFederal default, state manual not reviewed
Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted.
Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation.
PrivacyNo separate state-specific privacy note in this dataset.
Market contextVery low practice density outside Cheyenne and Casper; rural and low population with lower cost of living.

Confidence is a field in the supplied dataset. It describes the specificity of this research snapshot, not legal certainty or currentness. Proposed laws, payer contracts, program manuals, board guidance, and enforcement can change. Verify the rule that applies to the appointment and person before collection.

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State fee FAQ

Practical boundaries

Is it legal to charge a no-show fee?

The dataset’s general rule is that a reasonable fee may be possible for private-pay and commercially insured patients when disclosed in advance in writing, not excessive, applied consistently, and permitted by state, payer, and professional rules. It cannot be submitted to insurance as delivered care. Legality is state- and payer-specific, so check the record for your state below before charging.

Can you charge Medicaid patients no-show fees?

Check the patient’s program before charging. Texas Medicaid prohibits billing either the program or the patient for missed appointments. New York’s dental Medicaid manual also prohibits charges for canceled, broken or missed appointments. These are program rules, not permission to bill the patient because insurance will not pay. Check the current state manual, provider agreement and plan terms; for patients with both Medicare and Medicaid, check the dual-eligibility guidance separately.

Can you charge Medicare patients a no-show fee?

CMS policy (Medicare Claims Processing Manual, Chapter 1, Section 30.3.13) allows a physician or supplier to bill a traditional Medicare Part B patient directly for a missed appointment, but only if the same fee and policy apply equally to Medicare and non-Medicare patients, the charge is billed to the patient and never submitted to Medicare, and it is treated as a charge for a missed business opportunity rather than a covered service. Medicare Advantage plans can add their own terms, so check the specific plan alongside state rules.

Is an appointment deposit different from a no-show fee?

Yes. A deposit is collected or authorized before the appointment under disclosed terms; a no-show fee is imposed after a miss. The dataset emphasizes advance disclosure, authorization, and clear forfeiture or card-charge terms for deposits.

What is different in California?

For Medi-Cal-only patients, check the applicable program manual and provider agreement rather than applying Medicare’s rule. For patients with both Medicare and Medi-Cal, DHCS says certain administrative fees, including missed appointments, are not prohibited by federal guidance, provided the missed-appointment charge is the same as for non-Medicare patients. This is not blanket permission under every state or plan rule. CMIA also applies to healthcare providers’ handling of medical information alongside HIPAA.

Is this state table legal advice?

No. Confidence describes specificity in this dataset, not legal certainty. Rules, payer agreements, enforcement, and proposed legislation change; verify current state and program requirements with qualified counsel and responsible compliance owners.

One national hub with state anchors keeps shared federal and consumer context together and exposes the few genuinely specific records without manufacturing 51 near-duplicate landing pages.

Once you've confirmed a fee is allowed, see how much to charge, decide between a deposit and a no-show fee, then draft it with the no-show policy templates.

Your practice sets its own deposit and consent rules; NoShowLine is not legal advice.