S5101 Medicaid reimbursement rate by state (2026)
Day care services, adult; per half day. Medicaid pays a median of $49.75 for S5101 across 11 states, from $26.37 in Iowa to $122.14 in Alaska.
- States publishing
- 11
- National median
- $49.75units vary by state
- Lowest
- $26.37Iowa
- Highest
- $122.14Alaska
What does Medicaid pay for S5101?
11 state Medicaid programs publish a fee-for-service rate for S5101. The national median is $49.75 (units differ between states). Alaska pays the most, $122.14 per Per Half Day, and Iowa the least, $26.37 per Half Day, a 4.6x spread.
S5101 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S5101?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $49.75. Alaska pays the most ($122.14 per Per Half Day) and Iowa the least ($26.37 per Half Day).
Which state pays the highest Medicaid rate for S5101?
Alaska, at $122.14 per Per Half Day, effective 2026-07-01.
Do managed-care plans pay the same rate for S5101?
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.