G0155 Medicaid reimbursement rates by state
Services of clinical social worker in home health or hospice.... 11 state Medicaid programs publish a fee-for-service rate for G0155. Rates run from $14.58 in Alabama to $70.46 in Massachusetts, with a median of $18.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $18.00units vary by state
- Highest
- $70.46Massachusetts
- Medicare (non-facility)
- —not on the physician fee schedule
G0155 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 |
|---|---|---|---|---|---|---|
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $70.46since 2025-10-01 | Hour/Max | $70.46 | Plans negotiate; applies out of network | — | Rates for Hospice Services (effective Oc |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $54.10since 2026-10-01 | hour | $54.10 | Not classified | — | Arkansas Medicaid Hospice Fee Schedule ( |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $49.23since 2025-07-01 | 15 min | $196.92 | Plans must pay at least this | — | HCA Home health fee schedule (home-healt |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid School-Based Services (MSBS) | $19.40since 2022-07-01 | 15 min | $77.60 | Not classified | — | Medicaid School-Based Services Reimburse |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $18.36since 2026-10-01 | 15 min | $73.44 | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Residential Options Waiver (ROW, OCDD/OIDD 1915(c) waiver) | $18.00since 2025-11-18 | 15 min | $72.00 | Paid by the state, outside plans | — | Residential Options Waiver rate and proc |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $17.34since 2026-10-01 | 15 min | $69.36 | Plans negotiate; applies out of network | — | Utah Medicaid Hospice Rates (October 1, |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $17.09since 2025-10-01 | each 15 minutes | — | Not classified | — | MaineCare Section 43 Hospice rates/fee s |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $16.71since 2025-10-01 | 15 min | $66.84 | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Hospice |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule) | $15.00since 2025-10-01 | 15 min | $60.00 | Plans must pay at least this | — | KMAP Hospice FFS Provider Manual (posted |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $14.58since 2025-10-01 | 15 min | $58.32 | Not classified | — | Alabama Medicaid Agency Hospice Rates Ha |
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 G0155?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $18.00. Massachusetts pays the most ($70.46 per Hour/Max) and Alabama the least ($14.58 per 15 min).
Which state pays the highest Medicaid rate for G0155?
Massachusetts, at $70.46 per Hour/Max ($70.46 per hour), effective 2025-10-01.
Do managed-care plans pay the same rate for G0155?
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.