G0153 Medicaid reimbursement rates by state
Services performed by a qualified speech-language.... 16 state Medicaid programs publish a fee-for-service rate for G0153 at the therapist slp level. Rates run from $4.77 in Ohio to $137.61 in Missouri, with a median of $31.50.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 16
- Median rate
- $31.50units vary by state
- Highest
- $137.61Missouri
- Medicare (non-facility)
- —not on the physician fee schedule
G0153 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 |
|---|---|---|---|---|---|---|
| MissouriSpeech-language pathologist · Missouri MO HealthNet (fee-for-service) | $137.61⚠ over 3× mediansince 2024-07-01 | 15 min | $550.44 | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Home Health |
| NebraskaSpeech-language pathologist · Nebraska Medicaid (fee-for-service) | $116.38since 2026-07-01 | visit | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| IllinoisSpeech-language pathologist · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329) | $111.00since 2026-07-01 | VST | — | Plans must pay at least this | — | HSP Rates and Fees (Medicaid Waiver Serv |
| PennsylvaniaSpeech-language pathologist · Pennsylvania Medical Assistance (fee-for-service) | $88.00⚠ over 3× mediansince 2005-10-01 | 15 min | $352.00 | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| MichiganSpeech-language pathologist · Michigan Medicaid (fee-for-service) | $85.93⚠ over 3× mediansince 2023-10-01 | 15 min | $343.72 | Plans negotiate; applies out of network | — | MDHHS Home Health Fee Schedule database, |
| MassachusettsSpeech-language pathologist · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $76.44since 2020-07-01 | visit | — | Plans negotiate; applies out of network | — | 101 CMR 350.00 (final text, Wayback 2021 |
| New MexicoSpeech-language pathologist · 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 |
| ArizonaSpeech-language pathologist · 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 |
| VirginiaSpeech-language pathologist · 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 |
| LouisianaSpeech-language pathologist · Louisiana Medicaid (fee-for-service) | $27.22since 2023-04-03 | 15 min | $108.88 | Plans must pay at least this | — | Louisiana Medicaid Home Health Services |
| ConnecticutSpeech-language pathologist · 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 |
| IndianaSpeech-language pathologist · Indiana Medicaid (fee-for-service) | $23.59since 2026-01-01 | 15 min | $94.36 | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| OklahomaSpeech-language pathologist · Oklahoma Living Choice Project (Money Follows the Person demonstration) | $21.63since 2019-10-01 | 15 min | $86.52 | Not classified | — | Reimbursement Rates for Services, Living |
| NevadaSpeech-language pathologist · 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 |
| MississippiSpeech-language pathologist · Mississippi HCBS Intellectual Disabilities/Developmental Disabilities (ID/DD) 1915(c) waiver | $16.85since 2018-07-01 | 15 min | $67.40 | Paid by the state, outside plans | — | MS DOM ID/DD Waiver fee schedule (Intell |
| OhioSpeech-language pathologist · 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 marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 G0153?
It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $31.50. Missouri pays the most ($137.61 per 15 min) and Ohio the least ($4.77 per 15 min).
Which state pays the highest Medicaid rate for G0153?
Missouri, at $137.61 per 15 min ($550.44 per hour), effective 2024-07-01.
Do managed-care plans pay the same rate for G0153?
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.