H0043 Medicaid reimbursement rates by state
Supported housing, per diem. 7 state Medicaid programs publish a fee-for-service rate for H0043 at the agency level. Rates run from $15.00 in New Jersey to $369.06 in Virginia, with a median of $177.50.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $177.50units vary by state
- Highest
- $369.06Virginia
- Medicare (non-facility)
- —not on the physician fee schedule
H0043 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 |
|---|---|---|---|---|---|---|
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia developmental disability waivers (Building Independence, Family and Individual Supports, Community Living) | $369.06since 2026-07-01 | 344 billing days Per Diem | — | Paid by the state, outside plans | — | DMAS Developmental Disabilities Waiver S |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $255.44since 2025-01-03 | day | — | Plans must pay at least this | — | Rates for Homeless Medical Respite Servi |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $197.26since 2017-08-01 | day | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| FloridaAgency provider · Florida iBudget waiver for people with developmental disabilities (APD) | $177.50since 2026-07-01 | day | — | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania ODP intellectual disability/autism waivers (Consolidated, Community Living, Person/Family Directed Support) and base-funded services | $21.86since 2024-07-01 | 15-minute unit | — | Not classified | — | 54 Pa.B. 5541: Fee Schedule Rates and De |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $17.77since 2018-07-01 | day | — | Plans negotiate; applies out of network | — | ForwardHealth interactive max fee schedu |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $15.00since 2025-01-01 | day | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
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 H0043?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $177.50. Virginia pays the most ($369.06 per 344 billing days Per Diem) and New Jersey the least ($15.00 per day).
Which state pays the highest Medicaid rate for H0043?
Virginia, at $369.06 per 344 billing days Per Diem, effective 2026-07-01.
Do managed-care plans pay the same rate for H0043?
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.