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0651 Medicaid reimbursement rates by state

Hospice routine home care (daily). 10 state Medicaid programs publish a fee-for-service rate for 0651. Rates run from $80.36 in Arkansas to $220.08 in Washington, with a median of $181.18.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
10
Median rate
$181.18units vary by state
Highest
$220.08Washington
Medicare (non-facility)
—not on the physician fee schedule

0651 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$220.08since 2026-10-01Capitated Daily Rate; Days 61+ Rate—Plans negotiate; applies out of network—Hospice fee schedule (2026-10-01)
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$187.58since 2025-10-01——Plans must pay at least this—DMAS procedure fee file revenue.csv
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$186.00since 2026-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Hospice*+' - H
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$182.79since 2026-10-01day—State sets the plan rate—AHCA Hospice Level of Care Rates October
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$181.75since 2026-10-01day—Not classified—Hospice Fee Schedule FY2027
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$180.60since 2025-10-01day—Plans negotiate; applies out of network—MDHHS Hospice Rates by County, FY2026
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$179.79since 2026-10-01day—Plans negotiate; applies out of network—AHCCCS FFS Program Capped Fee Schedule F
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$167.94since 2025-10-01——Plans must pay at least this—Louisiana Medicaid Hospice Fee Schedule
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$166.09since 2026-10-01——Plans must pay at least this—FY 2027 Hospice Rates by County (hospice
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$80.36since 2026-10-01day—Not classified—Arkansas Medicaid Hospice Fee Schedule (

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 0651?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $181.18. Washington pays the most ($220.08 per Capitated Daily Rate; Days 61+ Rate) and Arkansas the least ($80.36 per day).

Which state pays the highest Medicaid rate for 0651?

Washington, at $220.08 per Capitated Daily Rate; Days 61+ Rate, effective 2026-10-01.

Do managed-care plans pay the same rate for 0651?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related Hospice codes

Track 0651 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state