Skip to content
Billing code S5185 · Other home & community services

S5185 Medicaid reimbursement rate by state (2026)

Medication reminder service, non-face-to-face; per month. Medicaid pays a median of $75.00 per month for S5185 across 9 states, from $18.00 in Oklahoma to $157.40 in Connecticut.

Data as of Oct 5, 20269 statesEvery rate links to its official source

States publishing
9
National median
$75.00per month
Lowest
$18.00Oklahoma
Highest
$157.40Connecticut
Answer

What does Medicaid pay for S5185?

9 state Medicaid programs publish a fee-for-service rate for S5185. The national median is $75.00 per month. Connecticut pays the most, $157.40 per month, and Oklahoma the least, $18.00 per month, a 8.7x spread.

State ranking

S5185 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Connecticut Source · since 2021-07-01$157.40month—Not classified—
2Wyoming Source · since 2025-04-01$113.00month—Not classified—
3Hawaii Source · since 2025-01-01$87.32month—Plans negotiate; applies out of network—
5Louisiana Source · since 2025-11-18$75.00month—Paid by the state, outside plans—
8Virginia Source · since 2011-07-01$49.50month—Plans negotiate; applies out of network—
9Oklahoma Source · since 2024-05-22$18.00month—Plans must pay at least this—
See all 9 states for S5185 — 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 S5185 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for S5185?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $75.00 per month. Connecticut pays the most ($157.40 per month) and Oklahoma the least ($18.00 per month).

Which state pays the highest Medicaid rate for S5185?

Connecticut, at $157.40 per month, effective 2021-07-01.

Do managed-care plans pay the same rate for S5185?

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.