G0493 Medicaid reimbursement rates by state
Skilled services of a registered nurse. 8 state Medicaid programs publish a fee-for-service rate for G0493 at the rn level. Rates run from $1.00 in Kansas to $89.21 in Massachusetts, with a median of $51.94.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $51.94units vary by state
- Highest
- $89.21Massachusetts
- Medicare (non-facility)
- —not on the physician fee schedule
G0493 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 |
|---|---|---|---|---|---|---|
| MassachusettsRegistered nurse (RN) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $89.21since 2020-04-01 | visit | — | Plans negotiate; applies out of network | — | 101 CMR 350.00 (final text, Wayback 2021 |
| MichiganRegistered nurse (RN) · Michigan Medicaid (fee-for-service) | $89.08since 2023-10-01 | 15 min | $356.32 | Plans negotiate; applies out of network | — | MDHHS Home Health Fee Schedule database, |
| TexasAgency provider · Texas Community Living Assistance and Support Services (CLASS) waiver | $77.43since 2024-09-01 | hour | $77.43 | Paid by the state, outside plans | — | 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) | $58.76since 2019-06-01 | 15 min | $235.04 | Not classified | — | CMAP fee schedule: Local Health Departme |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $45.12since 2025-07-01 | 15 min | $180.48 | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| OhioRegistered nurse (RN) · Ohio Individual Options (IO) Waiver for people with IDD (DODD) | $33.57since 2024-01-01 | Per assessment | — | Paid by the state, outside plans | — | OAC 5123-9-37 appendix (Home and communi |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $25.96since 2025-01-01 | 15 min | $103.84 | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $1.00since 2017-01-01 | 15 min | $4.00 | 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 G0493?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $51.94. Massachusetts pays the most ($89.21 per visit) and Kansas the least ($1.00 per 15 min).
Which state pays the highest Medicaid rate for G0493?
Massachusetts, at $89.21 per visit, effective 2020-04-01.
Do managed-care plans pay the same rate for G0493?
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.