S5151 Medicaid reimbursement rates by state
Unskilled respite care, not hospice; per diem. 16 state Medicaid programs publish a fee-for-service rate for S5151 at the agency level. Rates run from $6.23 in Florida to $623.73 in Missouri, with a median of $178.88.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 16
- Median rate
- $178.88units vary by state
- Highest
- $623.73Missouri
- Medicare (non-facility)
- —not on the physician fee schedule
S5151 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 |
|---|---|---|---|---|---|---|
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $623.73⚠ over 3× mediansince 2024-07-01 | day | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| 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) | $328.40since 2026-01-01 | day | — | Not classified | — | MaineCare Section 29 ID/ASD Support Serv |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver: Supported Living Services (SLS) | $310.72since 2023-07-01 | day | — | Paid by the state, outside plans | — | DD, SLS, CES (effective January 1, 2024) |
| ConnecticutAgency provider · Connecticut DDS HCBS waivers (Comprehensive Supports, Individual and Family Support, Employment and Day Supports) - DDS Funding Guidelines | $308.28since 2026-07-01 | day | — | Not classified | — | DDS Funding Guidelines (version 2026-06- |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $239.04since 2020-03-01 | day | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| OklahomaAgency provider · Oklahoma Developmental Disabilities Services 1915(c) waivers (Community, In-Home Supports adults and children, Homeward Bound) | $210.93since 2024-10-01 | day | — | Paid by the state, outside plans | — | DDS Administrative Letter 24-02: Rate In |
| WisconsinAgency provider · Wisconsin Children's Long-Term Support (CLTS) Waiver (fee-for-service, statewide uniform rate schedule) | $203.44since 2025-01-01 | day | — | Paid by the state, outside plans | — | CLTS Waiver Statewide Uniform Rate Sched |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $184.24since 2026-10-01 | day | — | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Alternative Care (AC, state-funded program for people 65+) | $173.52since 2026-01-01 | day | — | Not classified | — | Long-Term Services and Supports Service |
| 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) | $150.00since 2024-01-01 | day | — | Paid by the state, outside plans | — | Provider Type 48 Home and Community Base |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Independent Care Waiver Program (adults with physical disabilities or brain injury) | $121.09since 2024-07-01 | day | — | Paid by the state, outside plans | — | Part II Policies and Procedures: Indepen |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $73.09since 2025-01-01 | day | — | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $52.55since 2025-09-01 | day | — | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Money Follows the Person (CIH track) | $43.38since 2023-07-01 | hour | $43.38 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Intellectual Disability and Related Disabilities (ID/RD) Waiver (SC.0237, DDSN-operated) | $35.26since 2025-11-01 | 1/2 day = 2-3 hrs | — | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| FloridaAgency provider · Florida iBudget waiver for people with developmental disabilities (APD) | $6.23since 2026-07-01 | 15 min | $24.92 | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 S5151?
It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $178.88. Missouri pays the most ($623.73 per day) and Florida the least ($6.23 per 15 min).
Which state pays the highest Medicaid rate for S5151?
Missouri, at $623.73 per day, effective 2024-07-01.
Do managed-care plans pay the same rate for S5151?
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.