A9279 Medicaid reimbursement rates by state
Monitoring feature/device, stand-alone or integrated. 5 state Medicaid programs publish a fee-for-service rate for A9279 at the self directed level. Rates run from $12.13 in Indiana to $7,195.85 in Maine, with a median of $210.48.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $210.48units vary by state
- Highest
- $7,195.85Maine
- Medicare (non-facility)
- —not on the physician fee schedule
A9279 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 |
|---|---|---|---|---|---|---|
| MaineAny qualified provider (rate does not vary by provider) · MaineCare Home and Community Based Services for Adults with Other Related Conditions (MBM Section 20 waiver, fee-for-service) | $7,195.85since 2026-01-01 | Annually - up to | — | Not classified | — | MaineCare Section 20 Other Related Condi |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $300.00since 2025-07-01 | Max per month | — | Not classified | — | Montana Healthcare Programs Fee Schedule |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $210.48since 2015-01-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Dmepo |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $26.01since 2020-01-01 | — | — | Not classified | — | Maryland Medicaid DME/DMS/Oxygen, Prosth |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Family Supports Waiver (FSW) for people with IDD | $12.13since 2023-07-01 | hour | $12.13 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
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 A9279?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $210.48. Maine pays the most ($7,195.85 per Annually - up to) and Indiana the least ($12.13 per hour).
Which state pays the highest Medicaid rate for A9279?
Maine, at $7,195.85 per Annually - up to, effective 2026-01-01.
Do managed-care plans pay the same rate for A9279?
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.