G2251 Medicaid reimbursement rates by state
Waiver nursing (RN or LPN, by the 15 minutes). 9 state Medicaid programs publish a fee-for-service rate for G2251 at the rn level. Rates run from $3.13 in Kansas to $47.49 in Texas, with a median of $10.40.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 9
- Median rate
- $10.40units vary by state
- Highest
- $47.49Texas
- Medicare (non-facility)
- $13.35–$15.602026 physician fee schedule
G2251 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 |
|---|---|---|---|---|---|---|
| TexasRegistered nurse (RN) · Texas Deaf-Blind with Multiple Disabilities (DBMD) waiver | $47.49since 2024-09-01 | hour | $47.49 | Paid by the state, outside plans | — | HHSC PFD DBMD payment rates (09-2024-dbm |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $11.29since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $10.55since 2023-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Therapy- |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $10.54since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $10.40since 2022-04-15 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $9.96since 2024-10-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Telemedicine Audio-Only Services D |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $7.29since 2025-07-01 | — | — | Plans negotiate; applies out of network | — | HCA Physician-related services fee sched |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $7.08since 2026-07-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $3.13since 2021-01-01 | — | — | 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 G2251?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $10.40. Texas pays the most ($47.49 per hour) and Kansas the least ($3.13).
Which state pays the highest Medicaid rate for G2251?
Texas, at $47.49 per hour ($47.49 per hour), effective 2024-09-01.
Do managed-care plans pay the same rate for G2251?
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.