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S9129 Medicaid reimbursement rates by state

Occupational therapy, in the home, per diem. 7 state Medicaid programs publish a fee-for-service rate for S9129 at the therapist ot level. Rates run from $21.07 in Virginia to $138.86 in Arizona, with a median of $101.42.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
7
Median rate
$101.42units vary by state
Highest
$138.86Arizona
Medicare (non-facility)
—not on the physician fee schedule

S9129 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaOccupational therapist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$138.86since 2026-10-01——Plans expected to pay at least this—AHCCCS Final FFS Home and Community Base
MinnesotaOccupational therapist · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$110.62since 2026-01-01day—Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
GeorgiaOccupational therapist · Georgia Elderly and Disabled Waiver (CCSP and SOURCE)$105.98since 2024-07-01visit—Paid by the state, outside plans—Part II Policies and Procedures: EDWP -
New JerseyOccupational therapist · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$101.42since 2025-01-01day—Not classified—NJMMIS Procedure Master Listing CPTHCPCS
LouisianaOccupational therapist · Louisiana Community Choices Waiver (OAAS 1915(c) waiver for older adults and adults with disabilities)$77.50since 2024-01-01visit—Paid by the state, outside plans—Community Choices Waiver services proced
KansasOccupational therapist · MediKan (Kansas state-funded medical program, KMAP fee schedule)$39.00since 2002-09-01day—Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
VirginiaOccupational therapist · Virginia Medicaid (fee-for-service, DMAS)$21.07since 2026-07-01a group session—Plans negotiate; applies out of network—Outpatient Rehab Fee Schedule

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 S9129?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $101.42. Arizona pays the most ($138.86) and Virginia the least ($21.07 per a group session).

Which state pays the highest Medicaid rate for S9129?

Arizona, at $138.86, effective 2026-10-01.

Do managed-care plans pay the same rate for S9129?

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 Home health codes

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