G0152 Medicaid reimbursement rates by state
Services performed by a qualified occupational therapist in.... 11 state Medicaid programs publish a fee-for-service rate for G0152 at the therapist ot level. Rates run from $4.77 in Ohio to $137.61 in Missouri, with a median of $69.73.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $69.73units vary by state
- Highest
- $137.61Missouri
- Medicare (non-facility)
- —not on the physician fee schedule
G0152 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 |
|---|---|---|---|---|---|---|
| MissouriOccupational 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 |
| NebraskaOccupational 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 |
| IllinoisOccupational 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 |
| PennsylvaniaOccupational 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 ( |
| MassachusettsOccupational therapist · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $74.68since 2020-07-01 | visit | — | Plans negotiate; applies out of network | — | 101 CMR 350.00 (final text, Wayback 2021 |
| MichiganOccupational therapist · Michigan Medicaid (fee-for-service) | $69.73since 2023-10-01 | 15 min | $278.92 | Plans negotiate; applies out of network | — | MDHHS Home Health Fee Schedule database, |
| WashingtonOccupational therapist · Washington Apple Health (Medicaid) fee-for-service | $36.38since 2025-07-01 | 15 min | $145.52 | Plans must pay at least this | — | HCA Home health fee schedule (home-healt |
| ArizonaOccupational 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 |
| VirginiaOccupational 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 |
| IndianaOccupational therapist · Indiana Family Supports Waiver (FSW) for people with IDD | $17.99since 2009-10-01 | 15 min | $71.96 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| OhioOccupational 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 G0152?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $69.73. 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 G0152?
Missouri, at $137.61 per ea 15 min, effective 2024-07-01.
Do managed-care plans pay the same rate for G0152?
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.