G0151 Medicaid reimbursement rates by state
Services performed by a qualified physical therapist in the.... 22 state Medicaid programs publish a fee-for-service rate for G0151 at the therapist pt level. Rates run from $4.77 in Ohio to $137.61 in Missouri, with a median of $35.08.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 22
- Median rate
- $35.08units vary by state
- Highest
- $137.61Missouri
- Medicare (non-facility)
- —not on the physician fee schedule
G0151 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 |
|---|---|---|---|---|---|---|
| MissouriPhysical therapist · Missouri MO HealthNet (fee-for-service) | $137.61since 2024-07-01 | ea 15 min | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Home Health |
| NebraskaPhysical therapist · Nebraska Medicaid (fee-for-service) | $116.38since 2026-07-01 | visit | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| IllinoisPhysical therapist · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329) | $111.00since 2026-07-01 | hour | $111.00 | Plans must pay at least this | — | HSP Rates and Fees (Medicaid Waiver Serv |
| PennsylvaniaPhysical therapist · Pennsylvania Medical Assistance (fee-for-service) | $88.00since 2005-10-01 | 15 min | $352.00 | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| MichiganPhysical therapist · Michigan Medicaid (fee-for-service) | $85.93since 2023-10-01 | 15 min | $343.72 | Plans negotiate; applies out of network | — | MDHHS Home Health Fee Schedule database, |
| MassachusettsPhysical therapist · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $71.64since 2020-07-01 | visit | — | Plans negotiate; applies out of network | — | 101 CMR 350.00 (final text, Wayback 2021 |
| New MexicoPhysical therapist · New Mexico Developmental Disabilities 1915(c) Waiver (NM.0173) | $49.66since 2026-07-01 | 15 min | $198.64 | Paid by the state, outside plans | — | Developmental Disabilities Waiver Fee Sc |
| DelawarePhysical therapist · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $49.25since 2026-01-01 | 15 min | $197.00 | Plans negotiate; applies out of network | — | DMAP 2026 Physician Fee Schedule |
| Rhode IslandPhysical therapist · Rhode Island Medicaid (fee-for-service) | $44.27since 2026-10-01 | 15 min | $177.08 | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| WashingtonPhysical therapist · Washington Apple Health (Medicaid) fee-for-service | $38.85since 2025-01-01 | 15 min | $155.40 | Plans must pay at least this | — | HCA Home health fee schedule (home-healt |
| UtahPhysical therapist · Utah Medicaid (fee-for-service, Traditional plan) | $35.44since 2024-07-01 | 15 min | $141.76 | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| ArizonaPhysical therapist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $34.72since 2026-10-01 | 15 min | $138.88 | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| MainePhysical therapist · MaineCare (fee-for-service) | $30.13since 2025-07-01 | 15 min | $120.52 | Not classified | — | MaineCare Section 40 Home Health rates/f |
| VirginiaPhysical therapist · Virginia Medicaid (fee-for-service, DMAS) | $28.27since 2024-01-01 | 15 min | $113.08 | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| LouisianaPhysical therapist · Louisiana Medicaid (fee-for-service) | $27.71since 2023-04-03 | 15 min | $110.84 | Plans must pay at least this | — | Louisiana Medicaid Home Health Services |
| OklahomaPhysical therapist · Oklahoma ADvantage 1915(c) waiver (older adults and adults with physical disabilities) | $26.00since 2024-10-01 | 15 min | $104.00 | Paid by the state, outside plans | — | Reimbursement Rates for Services, ADvant |
| New HampshirePhysical therapist · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $25.45since 2023-07-01 | 15 min | $101.80 | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
| ConnecticutPhysical therapist · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $24.63since 2021-07-01 | 15 min | $98.52 | Not classified | — | CMAP fee schedule: Home Health Services |
| NevadaPhysical therapist · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $18.81since 2024-01-01 | 15 min | $75.24 | Plans negotiate; applies out of network | — | Provider Type 29 Home Health Agencies an |
| IndianaPhysical therapist · Indiana Community Integration and Habilitation (CIH) Waiver for people with IDD | $18.12since 2009-10-01 | 15 min | $72.48 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| MississippiPhysical therapist · Mississippi HCBS Intellectual Disabilities/Developmental Disabilities (ID/DD) 1915(c) waiver | $17.83since 2018-07-01 | 15 min | $71.32 | Paid by the state, outside plans | — | MS DOM ID/DD Waiver fee schedule (Intell |
| OhioPhysical therapist · Ohio Medicaid (fee-for-service) | $4.77since 2024-01-01 | 15 min | $19.08 | Plans negotiate; applies out of network | — | OAC 5160-12-05 Appendix A (ODM home heal |
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 G0151?
It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $35.08. Missouri pays the most ($137.61 per ea 15 min) and Ohio the least ($4.77 per 15 min).
Which state pays the highest Medicaid rate for G0151?
Missouri, at $137.61 per ea 15 min, effective 2024-07-01.
Do managed-care plans pay the same rate for G0151?
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.
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Track G0151 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.