S9131 Medicaid reimbursement rates by state
Physical therapy; in the home, per diem. 8 state Medicaid programs publish a fee-for-service rate for S9131 at the therapist pt level. Rates run from $48.00 in New Jersey to $264.78 in Utah, with a median of $107.20.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $107.20units vary by state
- Highest
- $264.78Utah
- Medicare (non-facility)
- —not on the physician fee schedule
S9131 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 |
|---|---|---|---|---|---|---|
| UtahPhysical therapist · Utah Medicaid (fee-for-service, Traditional plan) | $264.78since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| ArkansasPhysical therapist · Arkansas Medicaid (fee-for-service) | $141.02since 2025-05-16 | day | — | Not classified | — | Arkansas Medicaid Home Health Fee Schedu |
| ArizonaPhysical 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 |
| MinnesotaPhysical therapist · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $108.42since 2026-01-01 | day | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| GeorgiaPhysical therapist · Georgia Elderly and Disabled Waiver (CCSP and SOURCE) | $105.98since 2024-07-01 | visit | — | Paid by the state, outside plans | — | Part II Policies and Procedures: EDWP - |
| LouisianaPhysical therapist · Louisiana Community Choices Waiver (OAAS 1915(c) waiver for older adults and adults with disabilities) | $77.50since 2024-01-01 | visit | — | Paid by the state, outside plans | — | Community Choices Waiver services proced |
| KansasPhysical therapist · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $50.00since 2002-09-01 | day | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| New JerseyPhysical therapist · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $48.00since 2025-01-01 | day | — | Not classified | — | 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 S9131?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $107.20. Utah pays the most ($264.78 per day) and New Jersey the least ($48.00 per day).
Which state pays the highest Medicaid rate for S9131?
Utah, at $264.78 per day, effective 2026-07-01.
Do managed-care plans pay the same rate for S9131?
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.