S9124 Medicaid reimbursement rates by state
Nursing care, in the home; by licensed practical nurse. 12 state Medicaid programs publish a fee-for-service rate for S9124 at the lpn level. Rates run from $12.89 in New Jersey to $50.00 in Pennsylvania, with a median of $25.07.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 12
- Median rate
- $25.07units vary by state
- Highest
- $50.00Pennsylvania
- Medicare (non-facility)
- —not on the physician fee schedule
S9124 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 |
|---|---|---|---|---|---|---|
| PennsylvaniaLicensed practical / vocational nurse (LPN / LVN) · Pennsylvania Medical Assistance (fee-for-service) | $50.00since 2005-10-01 | hour | $50.00 | State-directed payment | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| ArizonaLicensed practical / vocational nurse (LPN / LVN) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $49.95since 2026-10-01 | hour | $49.95 | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| CaliforniaLicensed practical / vocational nurse (LPN / LVN) · California Medi-Cal for children under 21 (EPSDT, fee-for-service) | $36.63since 2026-10-01 | hour | $36.63 | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| NebraskaLicensed practical / vocational nurse (LPN / LVN) · Nebraska Medicaid (fee-for-service) | $33.20since 2026-07-01 | hour | $33.20 | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| TexasLicensed practical / vocational nurse (LPN / LVN) · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $29.69since 2025-09-01 | hour | $29.69 | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| WisconsinLicensed practical / vocational nurse (LPN / LVN) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $25.17since 2022-01-01 | hour | $25.17 | Plans may pay no more | — | ForwardHealth max fee schedule: Home Car |
| New YorkLicensed practical / vocational nurse (LPN / LVN) · New York Medicaid (fee-for-service) | $24.97since 2022-04-01 | hour | $24.97 | Plans negotiate; applies out of network | — | eMedNY NYS Medicaid Private Duty Nursing |
| VirginiaLicensed practical / vocational nurse (LPN / LVN) · Virginia Medicaid (fee-for-service, DMAS) | $20.46since 2026-07-01 | hour | $20.46 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| GeorgiaLicensed practical / vocational nurse (LPN / LVN) · Georgia Independent Care Waiver Program (adults with physical disabilities or brain injury) | $15.85since 2024-07-01 | 15 min | $63.40 | Paid by the state, outside plans | — | Part II Policies and Procedures: Indepen |
| FloridaLicensed practical / vocational nurse (LPN / LVN) · Florida Medicaid (fee-for-service) | $14.07since 2026-01-01 | /hr | $14.07 | Plans negotiate; applies out of network | — | Private Duty Nursing Services Fee Schedu |
| North CarolinaLicensed practical / vocational nurse (LPN / LVN) · North Carolina Medicaid Direct (fee-for-service) | $13.00since 2025-10-01 | 15 min. | $52.00 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Private Duty N |
| New JerseyLicensed practical / vocational nurse (LPN / LVN) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $12.89since 2026-07-01 | hour | $12.89 | Plans must pay at least this | — | NJMMIS Procedure Master Listing CPTHCPCS |
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 S9124?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $25.07. Pennsylvania pays the most ($50.00 per hour) and New Jersey the least ($12.89 per hour).
Which state pays the highest Medicaid rate for S9124?
Pennsylvania, at $50.00 per hour ($50.00 per hour), effective 2005-10-01.
Do managed-care plans pay the same rate for S9124?
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.