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G0300 Medicaid reimbursement rates by state

Direct skilled nursing services of a licensed practical.... 22 state Medicaid programs publish a fee-for-service rate for G0300 at the lpn level. Rates run from $6.43 in Maine to $137.61 in Missouri, with a median of $21.01.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
22
Median rate
$21.01units vary by state
Highest
$137.61Missouri
Medicare (non-facility)
—not on the physician fee schedule

G0300 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MissouriLicensed practical / vocational nurse (LPN / LVN) · Missouri MO HealthNet (fee-for-service)$137.61since 2024-07-01ea 15 mins—Plans negotiate; applies out of network—MO HealthNet fee schedule: Home Health
IllinoisLicensed practical / vocational nurse (LPN / LVN) · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329)$111.00since 2026-07-01VST—Plans must pay at least this—HSP Rates and Fees (Medicaid Waiver Serv
NebraskaLicensed practical / vocational nurse (LPN / LVN) · Nebraska Medicaid (fee-for-service)$100.21since 2026-07-01visit—Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
TexasLicensed practical / vocational nurse (LPN / LVN) · Texas Medicaid (fee-for-service, TMHP)$98.92⚠ over 3× mediansince 2018-01-0115 min$395.68Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Home
MassachusettsLicensed practical / vocational nurse (LPN / LVN) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$89.21since 2020-04-01visit—Plans negotiate; applies out of network—101 CMR 350.00 (final text, Wayback 2021
MichiganLicensed practical / vocational nurse (LPN / LVN) · Michigan Medicaid (fee-for-service)$89.08⚠ over 3× mediansince 2023-10-0115 min$356.32Plans negotiate; applies out of network—MDHHS Home Health Fee Schedule database,
PennsylvaniaLicensed practical / vocational nurse (LPN / LVN) · Pennsylvania Medical Assistance (fee-for-service)$88.00since 2016-03-01visit—Plans negotiate; applies out of network—46 Pa.B. 1097 Medical Assistance Program
DelawareLicensed practical / vocational nurse (LPN / LVN) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$49.07since 2026-01-0115 min$196.28Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
LouisianaLicensed practical / vocational nurse (LPN / LVN) · Louisiana Medicaid (fee-for-service)$24.73since 2023-04-0315 min$98.92Plans must pay at least this—Louisiana Medicaid Home Health Services
ArizonaLicensed practical / vocational nurse (LPN / LVN) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$24.73since 2019-10-0115 min$98.92Plans expected to pay at least this—AHCCCS FFS Home and Community Based Serv
UtahLicensed practical / vocational nurse (LPN / LVN) · Utah Medicaid (fee-for-service, Traditional plan)$22.00since 2019-07-0115 min$88.00Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
OklahomaLicensed practical / vocational nurse (LPN / LVN) · Oklahoma Developmental Disabilities Services 1915(c) waivers (Community, In-Home Supports adults and children, Homeward Bound)$20.02since 2024-10-0115 min$80.08Paid by the state, outside plans—DDS Administrative Letter 24-02: Rate In
South DakotaLicensed practical / vocational nurse (LPN / LVN) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$19.34since 2026-07-0115 min$77.36Not classified—South Dakota Medicaid Home Health fee sc
NevadaLicensed practical / vocational nurse (LPN / LVN) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$18.69since 2024-01-0115 min$74.76Plans negotiate; applies out of network—Provider Type 29 Home Health Agencies an
VermontLicensed practical / vocational nurse (LPN / LVN) · Vermont Medicaid (fee-for-service, DVHA)$18.64since 2026-07-0115 min$74.56Not classified—DAIL Adult Services Division - Billing C
KansasLicensed practical / vocational nurse (LPN / LVN) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$16.25since 2023-12-0315 min$65.00Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
District of ColumbiaLicensed practical / vocational nurse (LPN / LVN) · DC Medicaid (DHCF) fee-for-service$16.15since 2026-10-0115 min$64.60Not classified—REFRP00178CSV - Medical Fee Schedule Rep
MinnesotaLicensed practical / vocational nurse (LPN / LVN) · Minnesota Alternative Care (AC, state-funded program for people 65+)$12.81since 2026-01-0115 min$51.24Not classified—Long-Term Services and Supports Service
North DakotaLicensed practical / vocational nurse (LPN / LVN) · North Dakota 1915(c) Traditional IID/DD HCBS Waiver (ND.0037; DD payment system)$11.32since 2026-07-0115 min$45.28Not classified—DD Rate Guidelines - 2026-2027 Salary Re
CaliforniaLicensed practical / vocational nurse (LPN / LVN) · California Medi-Cal for children under 21 (EPSDT, fee-for-service)$11.03since 2026-10-0115 min$44.12Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
OhioLicensed practical / vocational nurse (LPN / LVN) · Ohio Medicaid (fee-for-service)$7.82since 2021-11-0115 min$31.28Plans negotiate; applies out of network—OAC 5160-12-05 Appendix A (ODM home heal
MaineLicensed practical / vocational nurse (LPN / LVN) · MaineCare Home and Community Benefits for the Elderly and Adults with Disabilities (MBM Section 19 waiver, fee-for-service)$6.43since 2026-01-0115 min$25.72Not classified—MaineCare Section 19 Elderly and Adults

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 G0300?

It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $21.01. Missouri pays the most ($137.61 per ea 15 mins) and Maine the least ($6.43 per 15 min).

Which state pays the highest Medicaid rate for G0300?

Missouri, at $137.61 per ea 15 mins, effective 2024-07-01.

Do managed-care plans pay the same rate for G0300?

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.

Related Home health codes

Track G0300 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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