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G2250 Medicaid reimbursement rates by state

Waiver nursing (RN or LPN, by the 15 minutes). 7 state Medicaid programs publish a fee-for-service rate for G2250 at the lpn level. Rates run from $4.78 in Washington to $31.45 in Texas, with a median of $7.48.

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

States publishing
7
Median rate
$7.48units vary by state
Highest
$31.45Texas
Medicare (non-facility)
$12.40–$14.782026 physician fee schedule

G2250 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
TexasLicensed practical / vocational nurse (LPN / LVN) · Texas Deaf-Blind with Multiple Disabilities (DBMD) waiver$31.45since 2024-09-01hour$31.45Paid by the state, outside plans—HHSC PFD DBMD payment rates (09-2024-dbm
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$9.24since 2023-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Therapy-
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$7.59since 2022-04-15——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$7.48since 2026-01-01——Plans negotiate; applies out of network—MDHHS Non-Physician Behavioral Health Fe
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$5.91since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$5.61since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$4.78since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched

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 G2250?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $7.48. Texas pays the most ($31.45 per hour) and Washington the least ($4.78).

Which state pays the highest Medicaid rate for G2250?

Texas, at $31.45 per hour ($31.45 per hour), effective 2024-09-01.

Do managed-care plans pay the same rate for G2250?

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 Private duty nursing codes

Track G2250 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state