G0239 Medicaid reimbursement rates by state
Community transition (moving out of an institution). 8 state Medicaid programs publish a fee-for-service rate for G0239 at the agency level. Rates run from $2.81 in Kansas to $158.28 in Texas, with a median of $11.43.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $11.43units vary by state
- Highest
- $158.28Texas
- Medicare (non-facility)
- $12.79–$15.512026 physician fee schedule
G0239 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 |
|---|---|---|---|---|---|---|
| TexasAgency provider · Texas Community Living Assistance and Support Services (CLASS) waiver | $158.28since 2024-09-01 | one time | — | Paid by the state, outside plans | 1045–1210% | HHSC PFD CLASS payment rates (09-2024-cl |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $17.00since 2016-07-01 | — | — | Not classified | — | CMAP fee schedule: Special Services 7/1/ |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $11.97since 2026-07-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $11.79since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $11.06since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $8.21since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $6.61since 2024-07-01 | — | — | Plans negotiate; applies out of network | — | SCDHHS Nurse Midwives Fee Schedule (sche |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $2.81since 2009-12-18 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
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 G0239?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $11.43. Texas pays the most ($158.28 per one time) and Kansas the least ($2.81).
Which state pays the highest Medicaid rate for G0239?
Texas, at $158.28 per one time, effective 2024-09-01.
How do Medicaid rates for G0239 compare with Medicare?
Where the billing units match, Medicaid pays between 1128% and 1128% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for G0239?
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.