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Billing code H0006 · Other home & community services

H0006 Medicaid reimbursement rate by state (2026)

Alcohol and/or drug services; case management. Medicaid pays a median of $21.33 for H0006 across 16 states, from $0.83 in Oklahoma to $650.20 in Wisconsin.

Data as of Oct 5, 202616 statesEvery rate links to its official source

States publishing
16
National median
$21.33units vary by state
Lowest
$0.83Oklahoma
Highest
$650.20Wisconsin
Answer

What does Medicaid pay for H0006?

16 state Medicaid programs publish a fee-for-service rate for H0006. The national median is $21.33 (units differ between states). Wisconsin pays the most, $650.20, and Oklahoma the least, $0.83 per minute, a 783.4x spread.

State ranking

H0006 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 16 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Wisconsin Source · since 2022-05-01$650.20——Paid by the state, outside plans—
2Virginia Source · since 2022-07-01$243.00——Plans must pay at least this—
3New Hampshire Source · since 2025-01-01$25.11——Plans negotiate; applies out of network—
8Ohio Source · since 2024-01-01$22.0315 min$88.12Plans expected to pay at least this—
9Illinois Source · since 2025-07-01$20.621/4 hour—Plans negotiate; applies out of network—
10Utah Source · since 2026-07-01$20.1815 min$80.72Plans negotiate; applies out of network—
15Colorado Source · since 2021-07-01$7.88——Not classified—
16Oklahoma Source · since 2023-05-12$0.83minute$49.80Not classified—
See all 16 states for H0006 — start free

8 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.

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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 H0006 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 H0006?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $21.33. Wisconsin pays the most ($650.20) and Oklahoma the least ($0.83 per minute).

Which state pays the highest Medicaid rate for H0006?

Wisconsin, at $650.20, effective 2022-05-01.

Do managed-care plans pay the same rate for H0006?

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.