S5100 Medicaid reimbursement rate by state (2026)
Day care services, adult; per 15 minutes. Medicaid pays a median of $3.80 for S5100 across 24 states, from $1.64 in Iowa to $127.92 in District of Columbia.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 24
- National median
- $3.80units vary by state
- Lowest
- $1.64Iowa
- Highest
- $127.92District of Columbia
- Median per hour
- $15.1824 time-based states
What does Medicaid pay for S5100?
24 state Medicaid programs publish a fee-for-service rate for S5100 at the agency level. The national median is $3.80 (units differ between states). District of Columbia pays the most, $127.92 per 15 min, and Iowa the least, $1.64 per 15 min, a 78.0x spread. Converted to an hour of service in the 24 states that bill it by time, the median is $15.18 per hour.
S5100 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S5100?
It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $3.80. District of Columbia pays the most ($127.92 per 15 min) and Iowa the least ($1.64 per 15 min).
Which state pays the highest Medicaid rate for S5100?
District of Columbia, at $127.92 per 15 min ($511.68 per hour), effective 2026-01-01.
Do managed-care plans pay the same rate for S5100?
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.