656 Medicaid reimbursement rates by state
Hospice general inpatient care (daily). 10 state Medicaid programs publish a fee-for-service rate for 656. Rates run from $1,033.54 in Alabama to $1,354.60 in Oregon, with a median of $1,147.08.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $1,147.08units vary by state
- Highest
- $1,354.60Oregon
- Medicare (non-facility)
- —not on the physician fee schedule
656 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 |
|---|---|---|---|---|---|---|
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $1,354.60since 2026-10-01 | day | — | Plans negotiate; applies out of network | — | OHA Fee-for-Service Hospice Program Rate |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $1,274.99since 2026-10-01 | — | — | Paid by the state, outside plans | — | Hospice (07/26) |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $1,267.61since 2026-10-01 | — | — | Not classified | — | CMAP fee schedule: Hospice 10/1/2026 |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $1,231.51since 2026-10-01 | — | — | Plans must pay at least this | — | OHCA PRN 2026-05 Annual Hospice Rate Upd |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $1,155.26since 2026-10-01 | Daily Rate | — | Plans must pay at least this | — | Hospice Rates |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $1,138.89since 2025-10-01 | — | — | Plans must pay at least this | — | Hospice Rates for Providers (NM Hospice |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $1,097.54since 2025-10-01 | day | — | Plans must pay at least this | — | Calculation of Hospice Rates FY: 10/1/25 |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $1,087.94since 2025-10-01 | day | — | Paid by the state, outside plans | — | Georgia Medicaid Hospice Rate File FFY 2 |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $1,047.48since 2025-10-01 | — | — | Plans negotiate; applies out of network | — | WV Medicaid Hospice Rates FFY 2026 (Hosp |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $1,033.54since 2025-10-01 | — | — | Not classified | — | Alabama Medicaid Agency Hospice Rates FY |
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 656?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $1,147.08. Oregon pays the most ($1,354.60 per day) and Alabama the least ($1,033.54).
Which state pays the highest Medicaid rate for 656?
Oregon, at $1,354.60 per day, effective 2026-10-01.
Do managed-care plans pay the same rate for 656?
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.