S0280 Medicaid reimbursement rate by state (2026)
Medical home program. Medicaid pays a median of $300.00 for S0280 across 8 states, from $50.00 in North Carolina to $456.44 in Nevada.
- States publishing
- 8
- National median
- $300.00units vary by state
- Lowest
- $50.00North Carolina
- Highest
- $456.44Nevada
What does Medicaid pay for S0280?
8 state Medicaid programs publish a fee-for-service rate for S0280. The national median is $300.00 (units differ between states). Nevada pays the most, $456.44, and North Carolina the least, $50.00, a 9.1x spread.
S0280 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S0280?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $300.00. Nevada pays the most ($456.44) and North Carolina the least ($50.00).
Which state pays the highest Medicaid rate for S0280?
Nevada, at $456.44, effective 2025-10-01.
Do managed-care plans pay the same rate for S0280?
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.