H1005 Medicaid reimbursement rate by state (2026)
Prenatal care, at-risk enhanced service package. Medicaid pays a median of $130.21 for H1005 across 5 states, from $55.00 in Kansas to $412.22 in Colorado.
- States publishing
- 5
- National median
- $130.21units vary by state
- Lowest
- $55.00Kansas
- Highest
- $412.22Colorado
What does Medicaid pay for H1005?
5 state Medicaid programs publish a fee-for-service rate for H1005. The national median is $130.21 (units differ between states). Colorado pays the most, $412.22, and Kansas the least, $55.00, a 7.5x spread.
H1005 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for H1005?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $130.21. Colorado pays the most ($412.22) and Kansas the least ($55.00).
Which state pays the highest Medicaid rate for H1005?
Colorado, at $412.22, effective 2021-07-01.
Do managed-care plans pay the same rate for H1005?
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.