H0045 Medicaid reimbursement rates by state
Respite care services, not in the home, per diem. 23 state Medicaid programs publish a fee-for-service rate for H0045 at the physician psychologist level. Rates run from $7.08 in New Jersey to $1,163.09 in Mississippi, with a median of $165.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 23
- Median rate
- $165.00units vary by state
- Highest
- $1,163.09Mississippi
- Medicare (non-facility)
- —not on the physician fee schedule
H0045 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 |
|---|---|---|---|---|---|---|
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Intellectual Disabilities/Developmental Disabilities (ID/DD) 1915(c) waiver | $1,163.09⚠ over 3× mediansince 2026-01-01 | day | — | Paid by the state, outside plans | — | MS DOM ID/DD Waiver fee schedule (Intell |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $917.33⚠ over 3× mediansince 2024-07-01 | day | — | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $740.00⚠ over 3× mediansince 2025-07-01 | day | — | Plans negotiate; applies out of network | — | HCA Specialized mental health fee schedu |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $661.96⚠ over 3× mediansince 2024-07-01 | day | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medically Fragile 1915(c) Waiver (NM.0223) | $492.90since 2026-07-01 | day | — | Paid by the state, outside plans | — | Medically Fragile Waiver Fee Schedule (E |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Intellectual Disability and Related Disabilities (ID/RD) Waiver (SC.0237, DDSN-operated) | $280.15since 2025-11-01 | day | — | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare Home and Community Benefits for the Elderly and Adults with Disabilities (MBM Section 19 waiver, fee-for-service) | $267.42since 2026-01-01 | day | — | Not classified | — | MaineCare Section 19 Elderly and Adults |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina CAP consumer-directed option (CAP/CD) | $219.57since 2025-10-01 | day | — | Paid by the state, outside plans | — | NC Medicaid fee schedule 'CAP- Consumer |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Home Care Waiver (ODM) | $199.82since 2026-04-17 | day | — | Plans negotiate; applies out of network | — | OAC 5160-46-06 (Register of Ohio final f |
| MontanaAny qualified provider (rate does not vary by provider) · Montana HCBS waiver for adults with severe disabling mental illness (1915(c), fee-for-service) | $198.42since 2025-07-01 | day | — | Not classified | — | Montana Medicaid Fee Schedule - HCBS for |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons who are elderly, blind or disabled (EBD) | $190.18since 2026-07-01 | day | — | Paid by the state, outside plans | — | EBD, CMHS, BI, CIH (effective July 1, 20 |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $165.00since 2025-06-13 | day | — | Not classified | — | Arkansas Medicaid Nurse Practitioner Fee |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Alternative Care (AC, state-funded program for people 65+) | $147.85since 2026-01-01 | day | — | Not classified | — | Long-Term Services and Supports Service |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Community Choices Waiver (OAAS 1915(c) waiver for older adults and adults with disabilities) | $145.48since 2026-10-01 | day | — | Paid by the state, outside plans | — | Community Choices Waiver services proced |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $144.10since 2008-07-01 | day | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $119.84since 2025-11-01 | day | — | Paid by the state, outside plans | — | FY2027 PBHS Fee Schedule – PRP and Speci |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $91.28since 2026-10-01 | day | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $82.56since 2025-09-01 | day | — | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid long-term services and supports, home and community based (1115 waiver, fee-for-service) | $70.00since 2003-07-01 | day | — | Paid by the state, outside plans | — | RI Medicaid Interactive Fee For Service |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medically Fragile, Technology Dependent waiver (IL.0278) and EPSDT in-home nursing, operated by UIC-DSCC | $57.78since 2025-01-01 | Client Hour | — | Not classified | — | Medically Fragile Technology Dependent ( |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire home and community-based care for high-risk children with severe emotional disturbance | $34.04since 2023-07-01 | day | — | Paid by the state, outside plans | — | 2023 Children's Mental Health HCBC Medic |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware DDDS Lifespan 1915(c) HCBS waiver | $15.00since 2025-01-01 | hour | — | Paid by the state, outside plans | — | DDDS Medicaid HCBS 1915(c) Lifespan Waiv |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $7.08since 2025-01-01 | day | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 H0045?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $165.00. Mississippi pays the most ($1,163.09 per day) and New Jersey the least ($7.08 per day).
Which state pays the highest Medicaid rate for H0045?
Mississippi, at $1,163.09 per day, effective 2026-01-01.
Do managed-care plans pay the same rate for H0045?
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.
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Track H0045 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.