G0128 Medicaid reimbursement rates by state
Respite care (daily). 9 state Medicaid programs publish a fee-for-service rate for G0128 at the agency level. Rates run from $0.90 in Kansas to $236.17 in Texas, with a median of $7.26.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 9
- Median rate
- $7.26units vary by state
- Highest
- $236.17Texas
- Medicare (non-facility)
- $9.78–$11.602026 physician fee schedule
G0128 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 |
|---|---|---|---|---|---|---|
| TexasAgency provider · Texas Community Living Assistance and Support Services (CLASS) waiver | $236.17since 2024-09-01 | day | — | Paid by the state, outside plans | — | HHSC PFD CLASS payment rates (09-2024-cl |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $10.42since 2026-07-01 | — | — | Not classified | — | South Dakota Medicaid Physician fee sche |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $8.51since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $8.37since 2026-07-01 | — | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $7.26since 2025-07-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Professional Services |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $5.30since 2010-09-01 | — | — | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $4.91since 2024-07-01 | — | — | Plans negotiate; applies out of network | — | SCDHHS Nurse Midwives Fee Schedule (sche |
| IowaAgency provider · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $4.05since 2013-07-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #19 REHAB AGE |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $0.90since 2009-12-18 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
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 G0128?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $7.26. Texas pays the most ($236.17 per day) and Kansas the least ($0.90).
Which state pays the highest Medicaid rate for G0128?
Texas, at $236.17 per day, effective 2024-09-01.
Do managed-care plans pay the same rate for G0128?
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.