G0299 Medicaid reimbursement rates by state
Direct skilled nursing services of a registered nurse. 26 state Medicaid programs publish a fee-for-service rate for G0299 at the rn level. Rates run from $9.25 in Ohio to $137.61 in Missouri, with a median of $24.73.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 26
- Median rate
- $24.73units vary by state
- Highest
- $137.61Missouri
- Medicare (non-facility)
- —not on the physician fee schedule
G0299 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 |
|---|---|---|---|---|---|---|
| MissouriRegistered nurse (RN) · Missouri MO HealthNet (fee-for-service) | $137.61since 2024-07-01 | ea 15 mins | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Home Health |
| IllinoisRegistered nurse (RN) · 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 |
| NebraskaRegistered nurse (RN) · Nebraska Medicaid (fee-for-service) | $100.21since 2026-07-01 | visit | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| TexasRegistered nurse (RN) · Texas Medicaid (fee-for-service, TMHP) | $98.92⚠ over 3× mediansince 2018-01-01 | 15 min | $395.68 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Home |
| MichiganRegistered nurse (RN) · Michigan Medicaid (fee-for-service) | $89.08⚠ over 3× mediansince 2023-10-01 | 15 min | $356.32 | Plans negotiate; applies out of network | — | MDHHS Home Health Fee Schedule database, |
| UtahRegistered nurse (RN) · Utah Medicaid (fee-for-service, Traditional plan) | $80.54⚠ over 3× mediansince 2026-07-01 | 15 min | $322.16 | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| PennsylvaniaRegistered nurse (RN) · Pennsylvania Medical Assistance (fee-for-service) | $74.00since 2016-03-01 | 45 minute visit | — | Plans negotiate; applies out of network | — | 46 Pa.B. 1097 Medical Assistance Program |
| New JerseyRegistered nurse (RN) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $72.89⚠ over 3× mediansince 2025-10-01 | 15 min | $291.56 | Not classified | — | NJ DMAHS Hospice Rates effective 2025-10 |
| MassachusettsRegistered nurse (RN) · 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 |
| ArkansasRegistered nurse (RN) · Arkansas Medicaid (fee-for-service) | $54.10since 2026-10-01 | hour | $54.10 | Not classified | — | Arkansas Medicaid Hospice Fee Schedule ( |
| DelawareRegistered nurse (RN) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $49.07since 2026-01-01 | 15 min | $196.28 | Plans negotiate; applies out of network | — | DMAP 2026 Physician Fee Schedule |
| NevadaRegistered nurse (RN) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $28.46since 2024-01-01 | 15 min | $113.84 | Plans negotiate; applies out of network | — | Provider Type 29 Home Health Agencies an |
| LouisianaRegistered nurse (RN) · Louisiana Medicaid (fee-for-service) | $24.73since 2023-04-03 | 15 min | $98.92 | Plans must pay at least this | — | Louisiana Medicaid Home Health Services |
| ArizonaRegistered nurse (RN) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $24.73since 2019-10-01 | 15 min | $98.92 | Plans expected to pay at least this | — | AHCCCS FFS Home and Community Based Serv |
| South DakotaRegistered nurse (RN) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $23.20since 2026-07-01 | 15 min | $92.80 | Not classified | — | South Dakota Medicaid Home Health fee sc |
| OklahomaRegistered nurse (RN) · Oklahoma Developmental Disabilities Services 1915(c) waivers (Community, In-Home Supports adults and children, Homeward Bound) | $21.45since 2024-10-01 | 15 min | $85.80 | Paid by the state, outside plans | — | DDS Administrative Letter 24-02: Rate In |
| KansasRegistered nurse (RN) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $20.00since 2023-12-03 | 15 min | $80.00 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| District of ColumbiaRegistered nurse (RN) · DC Medicaid (DHCF) fee-for-service | $19.40since 2026-10-01 | 15 min | $77.60 | Not classified | — | REFRP00178CSV - Medical Fee Schedule Rep |
| VermontRegistered nurse (RN) · Vermont Medicaid (fee-for-service, DVHA) | $18.64since 2026-07-01 | 15 min | $74.56 | Not classified | — | DAIL Adult Services Division - Billing C |
| Rhode IslandRegistered nurse (RN) · 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 |
| WisconsinRegistered nurse (RN) · 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 |
| MaineRegistered nurse (RN) · MaineCare (fee-for-service) | $15.96since 2025-10-01 | each 15 minutes | — | Not classified | — | MaineCare Section 43 Hospice rates/fee s |
| CaliforniaRegistered nurse (RN) · California Medi-Cal palliative care (fee-for-service) | $15.21since 2026-10-01 | 15 min | $60.84 | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| AlabamaRegistered nurse (RN) · 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 |
| MinnesotaRegistered nurse (RN) · Minnesota Alternative Care (AC, state-funded program for people 65+) | $12.81since 2026-01-01 | 15 min | $51.24 | Not classified | — | Long-Term Services and Supports Service |
| OhioRegistered nurse (RN) · Ohio Medicaid (fee-for-service) | $9.25since 2024-01-01 | 15 min | $37.00 | 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 G0299?
It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $24.73. Missouri pays the most ($137.61 per ea 15 mins) and Ohio the least ($9.25 per 15 min).
Which state pays the highest Medicaid rate for G0299?
Missouri, at $137.61 per ea 15 mins, effective 2024-07-01.
Do managed-care plans pay the same rate for G0299?
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 G0299 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.