G0543 Medicaid reimbursement rate by state (2026)
Group caregiver training in direct care strategies and.... Medicaid pays a median of $19.29 for G0543 across 6 states, from $8.00 in Ohio to $139.25 in California.
- States publishing
- 6
- National median
- $19.29units vary by state
- Lowest
- $8.00Ohio
- Highest
- $139.25California
What does Medicaid pay for G0543?
6 state Medicaid programs publish a fee-for-service rate for G0543. The national median is $19.29 (units differ between states). California pays the most, $139.25, and Ohio the least, $8.00, a 17.4x spread.
Medicare (non-facility, 2026 physician fee schedule): $20.83–$28.94 depending on the state's Medicare locality.
G0543 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 G0543?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $19.29. California pays the most ($139.25) and Ohio the least ($8.00).
Which state pays the highest Medicaid rate for G0543?
California, at $139.25, effective 2026-07-01.
Do managed-care plans pay the same rate for G0543?
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.