H2022 Medicaid reimbursement rates by state
Community-based wrap-around services, per diem. 10 state Medicaid programs publish a fee-for-service rate for H2022 at the agency level. Rates run from $53.92 in Washington to $386.80 in South Carolina, with a median of $207.70.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $207.70units vary by state
- Highest
- $386.80South Carolina
- Medicare (non-facility)
- —not on the physician fee schedule
H2022 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 |
|---|---|---|---|---|---|---|
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $386.80⚠ over 3× mediansince 2026-07-01 | day | — | Not classified | — | SCDHHS Rehabilitative Behavioral Health |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Adults with Developmental Disabilities 1915(c) Waiver (ID.0076) | $368.67since 2026-07-01 | day | — | Paid by the state, outside plans | — | Adult Developmental Disabilities Waiver |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia developmental disability waivers (Building Independence, Family and Individual Supports, Community Living) | $362.52since 2026-07-01 | 344 billing days Per Diem | — | Paid by the state, outside plans | — | DMAS Developmental Disabilities Waiver S |
| VermontAgency provider · Vermont Medicaid (fee-for-service, DVHA) | $356.79since 2004-01-01 | day | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $289.21since 2025-10-01 | day | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire DCYF children's services billed to Medicaid | $126.18since 2023-07-01 | day | — | Paid by the state, outside plans | — | DCYF - Other Diagnostic, Screening, Prev |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $94.50since 2025-07-01 | day | — | Not classified | — | Rehab Option MI Fee Schedule |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $93.11since 2023-07-01 | day | — | Plans must pay at least this | — | MO HealthNet fee schedule: Comprehensive |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Developmental Disabilities 1915(c) Waiver (NM.0173) | $65.22since 2026-07-01 | day | — | Paid by the state, outside plans | — | Developmental Disabilities Waiver Fee Sc |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $53.92since 2024-01-01 | day | — | Plans negotiate; applies out of network | — | HCA Specialized mental health fee schedu |
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 H2022?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $207.70. South Carolina pays the most ($386.80 per day) and Washington the least ($53.92 per day).
Which state pays the highest Medicaid rate for H2022?
South Carolina, at $386.80 per day, effective 2026-07-01.
Do managed-care plans pay the same rate for H2022?
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.