Skip to content
Billing code G0541 · Behavioral health

G0541 Medicaid reimbursement rate by state (2026)

Caregiver training in direct care strategies and techniques.... Medicaid pays a median of $48.21 for G0541 across 6 states, from $34.49 in Ohio to $320.27 in California.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$48.21units vary by state
Lowest
$34.49Ohio
Highest
$320.27California
Answer

What does Medicaid pay for G0541?

6 state Medicaid programs publish a fee-for-service rate for G0541. The national median is $48.21 (units differ between states). California pays the most, $320.27, and Ohio the least, $34.49, a 9.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $51.42–$65.19 depending on the state's Medicare locality.

State ranking

G0541 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-07-01$320.27——Paid by the state, outside plans—
2Montana Source · since 2026-07-01$74.65——Not classified—
3New Mexico Source · since 2025-01-01$50.52——Plans must pay at least this—
6Ohio Source · since 2025-01-01$34.49——Plans negotiate; applies out of network—
See all 6 states for G0541 — start free

2 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

  • Source for every rate
  • Full rate history
  • CSV and API export

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track G0541 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for G0541?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $48.21. California pays the most ($320.27) and Ohio the least ($34.49).

Which state pays the highest Medicaid rate for G0541?

California, at $320.27, effective 2026-07-01.

Do managed-care plans pay the same rate for G0541?

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 workspace shows the rule for each state, cited to the contract or statute.