S5108 Medicaid reimbursement rates by state
Home care training to home care client, per 15 minutes. 10 state Medicaid programs publish a fee-for-service rate for S5108 at the agency level. Rates run from $3.50 in Wisconsin to $25.00 in Iowa, with a median of $10.52.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $10.52units vary by state
- Highest
- $25.00Iowa
- Medicare (non-facility)
- —not on the physician fee schedule
S5108 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $25.00since 2016-01-01 | 15 min | $100.00 | Plans must pay at least this | — | Iowa Medicaid fee schedule #48 CLINICAL |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $24.89since 2025-09-01 | 15 min | $99.56 | Not classified | — | CMAP fee schedule: Independent Physical |
| North DakotaRegistered nurse (RN) · North Dakota Adults and Aging HCBS Qualified Service Provider (QSP) rates (lines naming no single funding program) | $15.95since 2026-07-01 | 15 min | $63.80 | Not classified | — | QSP Rates and Rural Differential Rate (C |
| UtahAny qualified provider (rate does not vary by provider) · Utah New Choices 1915(c) waiver | $13.88since 2022-01-01 | 15 min | $55.52 | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska Personal Care Services and Community First Choice (State Plan, SDS) | $12.03since 2026-07-01 | 15 min | $48.12 | Not classified | — | Chart of Personal Care Services and Comm |
| KentuckyAgency provider · Kentucky Home and Community Based (HCB) 1915(c) waiver | $9.00since 2025-01-01 | 15 min | $36.00 | Paid by the state, outside plans | — | DMS 1915(c) HCBS LTSS RISE Services Summ |
| WyomingAgency provider · Wyoming DD waivers (Comprehensive and Supports, 1915(c)) | $6.73since 2024-04-01 | 15 min | $26.92 | Not classified | — | SFY 2027 Comprehensive and Supports Waiv |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $6.03since 2024-10-01 | 15 min | $24.12 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $4.35since 2026-10-01 | 15 min | $17.40 | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| WisconsinAgency provider · Wisconsin Children's Long-Term Support (CLTS) Waiver (fee-for-service, statewide uniform rate schedule) | $3.50since 2025-01-01 | 15-min. | — | Paid by the state, outside plans | — | CLTS Waiver Statewide Uniform Rate Sched |
Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for S5108?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $10.52. Iowa pays the most ($25.00 per 15 min) and Wisconsin the least ($3.50 per 15-min.).
Which state pays the highest Medicaid rate for S5108?
Iowa, at $25.00 per 15 min ($100.00 per hour), effective 2016-01-01.
Do managed-care plans pay the same rate for S5108?
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 table shows the rule for each state, cited to the contract or statute.