Other home & community services Medicaid rates by code
51 other home & community services codes with published Medicaid rates in five or more states. Each page compares every state's rate, unit and managed-care rule.
| Code | Service | States | Median rate |
|---|---|---|---|
| 96158 | Positive behavioral interventions and support | 32 | $52.01 |
| 99509 | In-home personal care visit | 6 | $12.95 |
| A0200 | Non-emergency transportation: ancillary: lodging escort | 5 | $54.00 |
| A9279 | Monitoring feature/device, stand-alone or integrated | 5 | $210.48 |
| G0101 | Respite care (daily) | 20 | $30.76 |
| G0128 | Respite care (daily) | 7 | $5.30 |
| G0239 | Community transition (moving out of an institution) | 11 | $11.06 |
| G0506 | Comprehensive assessment of and care planning for patients... | 11 | $55.57 |
| G9001 | Coordinated care fee, initial rate | 7 | $118.74 |
| G9002 | Coordinated care fee, maintenance rate | 12 | $40.25 |
| G9012 | Other specified case management service not elsewhere... | 20 | $24.24 |
| H0006 | Alcohol and/or drug services; case management | 12 | $21.33 |
| H0023 | Behavioral health outreach service | 12 | $30.23 |
| S0280 | Medical home program | 6 | $354.69 |
| S0281 | Medical home program | 6 | $117.50 |
| S5101 | Day care services, adult; per half day | 7 | $46.15 |
| S5115 | Home care training, non-family; per 15 minutes | 5 | $9.89 |
| S5150 | Unskilled respite care, not hospice; per 15 minutes | 24 | $6.25 |
| S5151 | Unskilled respite care, not hospice; per diem | 16 | $178.88 |
| S5160 | Emergency response system; installation and testing | 19 | $53.96 |
| S5161 | Emergency response system; service fee, per month | 20 | $40.18 |
| S5165 | Home modifications; per service | 15 | $4,491.42 |
| S5170 | Home delivered meals, including preparation; per meal | 25 | $8.50 |
| S5185 | Medication reminder service, non-face-to-face; per month | 5 | $50.00 |
| S5190 | Wellness assessment, performed by non-physician | 5 | $100.00 |
| S5199 | Personal care item, nos, each | 10 | $72.47 |
| S9125 | Respite care, in the home, per diem | 9 | $152.89 |
| S9349 | Home infusion therapy, tocolytic infusion therapy | 6 | $111.19 |
| S9363 | Home infusion therapy, anti-spasmotic therapy | 7 | $72.79 |
| S9364 | Home infusion therapy, total parenteral nutrition (tpn) | 6 | $74.40 |
| S9446 | Patient education, not otherwise classified | 7 | $7.82 |
| T1001 | Nursing assessment / evaluation | 26 | $54.50 |
| T1005 | Respite care services, up to 15 minutes | 27 | $6.00 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 14 | $13.95 |
| T1016 | Case management, each 15 minutes | 27 | $18.90 |
| T1017 | Targeted case management, each 15 minutes | 27 | $18.59 |
| T1025 | Intensive, extended multidisciplinary services provided in a... | 8 | $308.57 |
| T1026 | Intensive, extended multidisciplinary services provided in a... | 12 | $50.03 |
| T1028 | Assessment of home, physical and family environment | 12 | $123.00 |
| T1999 | Miscellaneous therapeutic items and supplies | 8 | $231.50 |
| T2022 | Case management, per month | 17 | $91.70 |
| T2024 | Service assessment/plan of care development, waiver | 15 | $84.36 |
| T2025 | Waiver services; not otherwise specified (nos) | 22 | $62.20 |
| T2027 | Specialized childcare, waiver; per 15 minutes | 8 | $6.66 |
| T2028 | Specialized supply, not otherwise specified, waiver | 9 | $2,245.71 |
| T2029 | Specialized medical equipment, not otherwise specified | 11 | $1,134.24 |
| T2038 | Community transition, waiver; per service | 14 | $2,332.86 |
| T2039 | Vehicle modifications, waiver; per service | 5 | $7,154.64 |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | 13 | $95.00 |
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | 9 | $18.06 |
| T5999 | Supply, not otherwise specified | 9 | $10.00 |
Other home & community services rates in your statesRates, managed-care rules, Medicare comparison and changes, for the codes you bill.