H0043 Medicaid reimbursement rate by state (2026)
Supported housing, per diem. Medicaid pays a median of $48.39 for H0043 across 18 states, from $14.06 in Wisconsin to $367.81 in Virginia.
- States publishing
- 18
- National median
- $48.39units vary by state
- Lowest
- $14.06Wisconsin
- Highest
- $367.81Virginia
What does Medicaid pay for H0043?
18 state Medicaid programs publish a fee-for-service rate for H0043. The national median is $48.39 (units differ between states). Virginia pays the most, $367.81 per day, and Wisconsin the least, $14.06 per day, a 26.2x spread.
H0043 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 18 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for H0043?
It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $48.39. Virginia pays the most ($367.81 per day) and Wisconsin the least ($14.06 per day).
Which state pays the highest Medicaid rate for H0043?
Virginia, at $367.81 per day, effective 2026-07-01.
Do managed-care plans pay the same rate for H0043?
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.