G9006 Medicaid reimbursement rates by state
Coordinated care fee, home monitoring. 5 state Medicaid programs publish a fee-for-service rate for G9006. Rates run from $3.75 in Alabama to $42.89 in Oregon, with a median of $28.33.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $28.33units vary by state
- Highest
- $42.89Oregon
- Medicare (non-facility)
- —not on the physician fee schedule
G9006 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) | $42.89since 2009-01-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Medically Complex Children (MCC) Waiver (SC.0675) | $33.60since 2025-11-01 | 15 min | $134.40 | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $28.33since 2025-10-01 | 15 min | $113.32 | Not classified | — | CMAP fee schedule: Home Health Services |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $15.42since 2018-09-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #30 SCREENING |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $3.75since 2026-04-01 | — | — | Not classified | — | TCM Referral 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 G9006?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $28.33. Oregon pays the most ($42.89) and Alabama the least ($3.75).
Which state pays the highest Medicaid rate for G9006?
Oregon, at $42.89, effective 2009-01-01.
Do managed-care plans pay the same rate for G9006?
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.