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99509 Medicaid reimbursement rate by state (2026)

In-home personal care visit. Medicaid pays a median of $7.90 for 99509 across 7 states, from $0.89 in Massachusetts to $101.14 in Virginia.

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

States publishing
7
National median
$7.90units vary by state
Lowest
$0.89Massachusetts
Highest
$101.14Virginia

What does Medicaid pay for 99509?

7 state Medicaid programs publish a fee-for-service rate for 99509 at the aide level. The national median is $7.90 (units differ between states). Virginia pays the most, $101.14, and Massachusetts the least, $0.89 per 15 min, a 113.6x spread.

99509 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Virginia Source · since 2024-07-01$101.14——Plans negotiate; applies out of network—
2Wisconsin Source · since 2022-01-01$52.72——Plans may pay no more—
3Louisiana Source · since 2025-11-18$18.0015 min$72.00Paid by the state, outside plans—
7Massachusetts Source · since 2022-07-01$0.8915 min$3.56Not classified—
See all 7 states for 99509 — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 99509 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 99509?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $7.90. Virginia pays the most ($101.14) and Massachusetts the least ($0.89 per 15 min).

Which state pays the highest Medicaid rate for 99509?

Virginia, at $101.14, effective 2024-07-01.

Do managed-care plans pay the same rate for 99509?

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 workspace shows the rule for each state, cited to the contract or statute.