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S5111 Medicaid reimbursement rate by state (2026)

Home care training, family; per session. Medicaid pays a median of $77.50 for S5111 across 7 states, from $2.53 in District of Columbia to $5,000.00 in Indiana.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
7
National median
$77.50units vary by state
Lowest
$2.53District of Columbia
Highest
$5,000.00Indiana

What does Medicaid pay for S5111?

7 state Medicaid programs publish a fee-for-service rate for S5111 at the family caregiver level. The national median is $77.50 (units differ between states). Indiana pays the most, $5,000.00 per unit, and District of Columbia the least, $2.53, a 1976.3x spread.

S5111 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2020-07-16$5,000.00unit—Paid by the state, outside plans—
2Hawaii Source · since 2025-07-01$175.80hour$175.80Paid by the state, outside plans—
3North Dakota Source · since 2026-07-01$166.88——Not classified—
7District of Columbia Source · since 2018-01-01$2.53——Not classified—
See all 7 states for S5111 — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track S5111 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for S5111?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $77.50. Indiana pays the most ($5,000.00 per unit) and District of Columbia the least ($2.53).

Which state pays the highest Medicaid rate for S5111?

Indiana, at $5,000.00 per unit, effective 2020-07-16.

Do managed-care plans pay the same rate for S5111?

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.