S5160 Medicaid reimbursement rates by state
Emergency response system; installation and testing. 11 state Medicaid programs publish a fee-for-service rate for S5160 at the agency level. Rates run from $30.00 in South Carolina to $500.00 in Minnesota, with a median of $54.41.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $54.41units vary by state
- Highest
- $500.00Minnesota
- Medicare (non-facility)
- —not on the physician fee schedule
S5160 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 |
|---|---|---|---|---|---|---|
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Alternative Care (AC, state-funded program for people 65+) | $500.00since 2026-01-01 | Each Time | — | Not classified | — | Long-Term Services and Supports Service |
| FloridaAny qualified provider (rate does not vary by provider) · Florida iBudget waiver for people with developmental disabilities (APD) | $276.63since 2026-07-01 | unit | — | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Independent Care Waiver Program (adults with physical disabilities or brain injury) | $121.11since 2024-07-01 | per resident | — | Paid by the state, outside plans | — | Part II Policies and Procedures: Indepen |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $78.00since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia developmental disability waivers (Building Independence, Family and Individual Supports, Community Living) | $58.41since 2020-07-01 | One-time Purchase | — | Paid by the state, outside plans | — | DMAS Developmental Disabilities Waiver S |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Health & Wellness Waiver (adults with disabilities under 60; formerly A&D) | $54.41since 2008-07-01 | one time | — | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329) | $40.00since 2026-07-01 | SVC | — | Plans must pay at least this | — | HSP Rates and Fees (Medicaid Waiver Serv |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $38.53since 2026-03-01 | — | — | Plans negotiate; applies out of network | — | Rates for Durable Medical Equipment, Oxy |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Home Care Waiver (ODM) | $32.95since 2026-04-17 | Per installation and testing | — | Plans negotiate; applies out of network | — | OAC 5160-46-06 (Register of Ohio final f |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Residential Options Waiver (ROW, OCDD/OIDD 1915(c) waiver) | $30.00since 2025-11-18 | One Time | — | Paid by the state, outside plans | — | Residential Options Waiver rate and proc |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Intellectual Disability and Related Disabilities (ID/RD) Waiver (SC.0237, DDSN-operated) | $30.00since 2025-11-01 | Per installation | — | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
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 S5160?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $54.41. Minnesota pays the most ($500.00 per Each Time) and South Carolina the least ($30.00 per Per installation).
Which state pays the highest Medicaid rate for S5160?
Minnesota, at $500.00 per Each Time, effective 2026-01-01.
Do managed-care plans pay the same rate for S5160?
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.