S5150 Medicaid reimbursement rates by state
Unskilled respite care, not hospice; per 15 minutes. 27 state Medicaid programs publish a fee-for-service rate for S5150 at the agency level. Rates run from $3.50 in Indiana to $158.00 in Alabama, with a median of $6.25.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 27
- Median rate
- $6.25units vary by state
- Highest
- $158.00Alabama
- Medicare (non-facility)
- —not on the physician fee schedule
S5150 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 |
|---|---|---|---|---|---|---|
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Community Waiver Program (1115 demonstration with 1915(c)/1915(i) services; ADMH-DDD) | $158.00since 2020-12-17 | day | — | Not classified | — | ADMH Community Waiver Program Rate Sheet |
| IllinoisAide or attendant (HHA, CNA, PCA, home care aide) · Illinois Medically Fragile, Technology Dependent waiver (IL.0278) and EPSDT in-home nursing, operated by UIC-DSCC | $25.68since 2025-01-01 | Client Hour | — | Not classified | — | Medically Fragile Technology Dependent ( |
| ConnecticutAgency provider · Connecticut DDS HCBS waivers (Comprehensive Supports, Individual and Family Support, Employment and Day Supports) - DDS Funding Guidelines | $23.56since 2026-07-01 | hour | $23.56 | Not classified | — | DDS Funding Guidelines (version 2026-06- |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $19.41since 2024-07-01 | hour | $19.41 | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – PRP and Speci |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia developmental disability waivers (Building Independence, Family and Individual Supports, Community Living) | $13.88since 2025-07-01 | hour | $13.88 | Paid by the state, outside plans | — | DMAS Developmental Disabilities Waiver S |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder (MBM Section 29 waiver, fee-for-service) | $9.87since 2026-01-01 | 15 min | $39.48 | Not classified | — | MaineCare Section 29 ID/ASD Support Serv |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Alternative Care (AC, state-funded program for people 65+) | $9.64since 2026-01-01 | 15 min | $38.56 | Not classified | — | Long-Term Services and Supports Service |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri Aged and Disabled Waiver (DHSS, 1915(c)) | $8.14since 2023-07-01 | 15 min | $32.56 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Aged and Disa |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medically Complex Children's 1915(c) waiver | $7.98since 2022-01-01 | 15 min | $31.92 | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado Children's Habilitation Residential Program waiver (CHRP) | $7.20since 2023-07-01 | 15 min | $28.80 | Paid by the state, outside plans | — | CLLI, CHCBS, CHRP (effective January 1, |
| North CarolinaAide or attendant (HHA, CNA, PCA, home care aide) · North Carolina CAP consumer-directed option (CAP/CD) | $7.03since 2026-08-01 | 15 min | $28.12 | Paid by the state, outside plans | — | NC Medicaid fee schedule 'CAP- Consumer |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Independent Care Waiver Program (adults with physical disabilities or brain injury) | $6.89since 2024-07-01 | 15 min | $27.56 | Paid by the state, outside plans | — | Part II Policies and Procedures: Indepen |
| VermontAgency provider · Vermont Medicaid (fee-for-service, DVHA) | $6.68since 2018-07-08 | 15 min | $26.72 | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Intellectual Disability and Related Disabilities (ID/RD) Waiver (SC.0237, DDSN-operated) | $6.25since 2025-11-01 | 15 min | $25.00 | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada HCBS Waiver for the Frail Elderly (provider types 48, 57 and 59, fee-for-service) | $6.25since 2024-01-01 | 15 min | $25.00 | Paid by the state, outside plans | — | Provider Type 48 Home and Community Base |
| DelawareAgency provider · Delaware PROMISE 1915(i) behavioral health HCBS (DSAMH) | $5.85since 2022-03-25 | 15 min | $23.40 | Paid by the state, outside plans | — | PROMISE Home and Community-Based Service |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $5.63since 2026-10-01 | 15 min | $22.52 | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma Developmental Disabilities Services 1915(c) waivers (Community, In-Home Supports adults and children, Homeward Bound) | $5.50since 2024-10-01 | 15 min | $22.00 | Paid by the state, outside plans | — | DDS Administrative Letter 24-02: Rate In |
| IowaAgency provider · Iowa HCBS AIDS/HIV 1915(c) waiver | $5.41since 2025-08-01 | 15 min | $21.64 | Not classified | — | HCBS Habilitation and Waiver Upper Rate |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas ARChoices in Homecare 1915(c) waiver | $5.12since 2022-08-25 | 15 min | $20.48 | Paid by the state, outside plans | — | Arkansas Medicaid ARChoices Fee Schedule |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Intellectual Disabilities/Developmental Disabilities (ID/DD) 1915(c) waiver | $4.52since 2026-01-01 | 15 min | $18.08 | Paid by the state, outside plans | — | MS DOM ID/DD Waiver fee schedule (Intell |
| TexasAgency provider | $4.08since 2021-04-01 | hour | $4.08 | Paid by the state, outside plans | — | HHSC PFD YES payment rates (2021-yes-rat |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Mental Health Services Plan (state-funded, non-Medicaid) | $4.06since 2025-07-01 | 15 min. | — | Not classified | — | Medicaid Youth Mental Health Fee Schedul |
| PennsylvaniaSelf-directed worker (hired by the person or family) · Pennsylvania Act 150 attendant care program (state-funded) | $3.93since 2026-07-01 | 15 min | $15.72 | Not classified | — | OLTL Home and Community Based Waiver Ser |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $3.90since 2024-01-01 | 15 min. | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| 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 |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Adult Mental Health Habilitation (AMHH) services | $3.50since 2020-04-01 | 15 min | $14.00 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
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 S5150?
It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $6.25. Alabama pays the most ($158.00 per day) and Indiana the least ($3.50 per 15 min).
Which state pays the highest Medicaid rate for S5150?
Alabama, at $158.00 per day, effective 2020-12-17.
Do managed-care plans pay the same rate for S5150?
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.
Related Other home & community services codes
96158Positive behavioral interventions and support · 37 statesT1016Case management, each 15 minutes · 32 statesT1005Respite care services, up to 15 minutes · 32 statesT1017Targeted case management, each 15 minutes · 32 statesT1001Nursing assessment / evaluation · 31 statesS5170Home delivered meals, including preparation; per meal · 29 statesT2025Waiver services; not otherwise specified (nos) · 27 statesG0101Respite care (daily) · 24 statesS5161Emergency response system; service fee, per month · 24 statesG9012Other specified case management service not elsewhere... · 23 statesT2022Case management, per month · 23 statesS5160Emergency response system; installation and testing · 22 states
Track S5150 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.