655 Medicaid reimbursement rates by state
Hospice inpatient respite (daily). 12 state Medicaid programs publish a fee-for-service rate for 655. Rates run from $333.02 in South Dakota to $629.83 in Oregon, with a median of $531.75.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 12
- Median rate
- $531.75units vary by state
- Highest
- $629.83Oregon
- Medicare (non-facility)
- —not on the physician fee schedule
655 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $629.83since 2026-10-01 | day | — | Plans negotiate; applies out of network | — | OHA Fee-for-Service Hospice Program Rate |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $595.34since 2026-10-01 | — | — | Paid by the state, outside plans | — | Hospice (07/26) |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $574.66since 2026-10-01 | — | — | Plans must pay at least this | — | OHCA PRN 2026-05 Annual Hospice Rate Upd |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $561.30since 2026-10-01 | — | — | Not classified | — | CMAP fee schedule: Hospice 10/1/2026 |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $540.48since 2026-10-01 | Daily Rate | — | Plans must pay at least this | — | Hospice Rates |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $536.06since 2025-10-01 | — | — | Plans must pay at least this | — | Hospice Rates for Providers (NM Hospice |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $527.44since 2025-10-01 | day | — | Not classified | — | Wyoming Medicaid Hospice Rates |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $514.59since 2025-10-01 | day | — | Plans must pay at least this | — | Calculation of Hospice Rates FY: 10/1/25 |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $510.28since 2025-10-01 | day | — | Paid by the state, outside plans | — | Georgia Medicaid Hospice Rate File FFY 2 |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $492.13since 2025-10-01 | — | — | Plans negotiate; applies out of network | — | WV Medicaid Hospice Rates FFY 2026 (Hosp |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $485.87since 2025-10-01 | — | — | Not classified | — | Alabama Medicaid Agency Hospice Rates FY |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $333.02since 2026-10-01 | day | — | Not classified | — | Hospice Rate Calculations (FFY2027 (eff |
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 655?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $531.75. Oregon pays the most ($629.83 per day) and South Dakota the least ($333.02 per day).
Which state pays the highest Medicaid rate for 655?
Oregon, at $629.83 per day, effective 2026-10-01.
Do managed-care plans pay the same rate for 655?
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.