0656 Medicaid reimbursement rates by state
Hospice general inpatient care (daily). 9 state Medicaid programs publish a fee-for-service rate for 0656. Rates run from $449.54 in Arkansas to $1,473.77 in California, with a median of $1,132.04.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 9
- Median rate
- $1,132.04units vary by state
- Highest
- $1,473.77California
- Medicare (non-facility)
- —not on the physician fee schedule
0656 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 |
|---|---|---|---|---|---|---|
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $1,473.77since 2025-10-01 | — | — | Plans must pay at least this | — | DHCS Medi-Cal hospice rates (Use the tab |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $1,312.21since 2026-10-01 | Rate | — | Plans negotiate; applies out of network | — | Hospice fee schedule (2026-10-01) |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $1,186.66since 2026-10-01 | day | — | Plans negotiate; applies out of network | — | AHCCCS FFS Program Capped Fee Schedule F |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $1,159.02since 2026-10-01 | day | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Hospice*+' - H |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $1,132.04since 2026-10-01 | day | — | State sets the plan rate | — | AHCA Hospice Level of Care Rates October |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $1,119.25since 2025-10-01 | — | — | Plans must pay at least this | — | DMAS procedure fee file revenue.csv |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $1,065.15since 2025-10-01 | day | — | Plans negotiate; applies out of network | — | MDHHS Hospice Rates by County, FY2026 |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $1,058.83since 2025-10-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Hospice Fee Schedule |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $449.54since 2026-10-01 | day | — | Not classified | — | Arkansas Medicaid Hospice 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 0656?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $1,132.04. California pays the most ($1,473.77) and Arkansas the least ($449.54 per day).
Which state pays the highest Medicaid rate for 0656?
California, at $1,473.77, effective 2025-10-01.
Do managed-care plans pay the same rate for 0656?
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.