G0542 Medicaid reimbursement rate by state (2026)
Caregiver training in direct care strategies and techniques.... Medicaid pays a median of $24.81 per 15 min for G0542 across 6 states, from $18.48 in Ohio to $208.87 in California.
- States publishing
- 6
- National median
- $24.81per 15 min
- Lowest
- $18.48Ohio
- Highest
- $208.87California
- Median per hour
- $99.226 time-based states
What does Medicaid pay for G0542?
6 state Medicaid programs publish a fee-for-service rate for G0542. The national median is $24.81 per 15 min. California pays the most, $208.87 per 15 min, and Ohio the least, $18.48 per 15 min, a 11.3x spread. Converted to an hour of service in the 6 states that bill it by time, the median is $99.22 per hour.
Medicare (non-facility, 2026 physician fee schedule): $25.36–$31.58 depending on the state's Medicare locality.
G0542 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.
Frequently asked questions
What does Medicaid pay for G0542?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $24.81 per 15 min. California pays the most ($208.87 per 15 min) and Ohio the least ($18.48 per 15 min).
Which state pays the highest Medicaid rate for G0542?
California, at $208.87 per 15 min ($835.48 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for G0542?
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.