S0201 Medicaid reimbursement rate by state (2026)
Partial hospitalization services, less than 24 hours. Medicaid pays a median of $503.81 for S0201 across 6 states, from $175.71 in Maryland to $793.57 in New Mexico.
- States publishing
- 6
- National median
- $503.81units vary by state
- Lowest
- $175.71Maryland
- Highest
- $793.57New Mexico
What does Medicaid pay for S0201?
6 state Medicaid programs publish a fee-for-service rate for S0201. The national median is $503.81 (units differ between states). New Mexico pays the most, $793.57 per day, and Maryland the least, $175.71 per day, a 4.5x spread.
S0201 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 S0201?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $503.81. New Mexico pays the most ($793.57 per day) and Maryland the least ($175.71 per day).
Which state pays the highest Medicaid rate for S0201?
New Mexico, at $793.57 per day, effective 2025-01-01.
Do managed-care plans pay the same rate for S0201?
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.