H1002 Medicaid reimbursement rate by state (2026)
Prenatal care, at risk enhanced service; care coordination. Medicaid pays a median of $56.62 for H1002 across 12 states, from $9.47 in Colorado to $1,124.46 in New Jersey.
- States publishing
- 12
- National median
- $56.62units vary by state
- Lowest
- $9.47Colorado
- Highest
- $1,124.46New Jersey
What does Medicaid pay for H1002?
12 state Medicaid programs publish a fee-for-service rate for H1002. The national median is $56.62 (units differ between states). New Jersey pays the most, $1,124.46, and Colorado the least, $9.47 per encounter, a 118.7x spread.
H1002 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 12 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for H1002?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $56.62. New Jersey pays the most ($1,124.46) and Colorado the least ($9.47 per encounter).
Which state pays the highest Medicaid rate for H1002?
New Jersey, at $1,124.46, effective 2026-01-01.
Do managed-care plans pay the same rate for H1002?
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 workspace shows the rule for each state, cited to the contract or statute.