H2024 Medicaid reimbursement rates by state
Supported employment, per diem. 6 state Medicaid programs publish a fee-for-service rate for H2024 at the agency level. Rates run from $23.02 in New Jersey to $1,592.50 in Colorado, with a median of $48.80.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $48.80units vary by state
- Highest
- $1,592.50Colorado
- Medicare (non-facility)
- —not on the physician fee schedule
H2024 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 |
|---|---|---|---|---|---|---|
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $1,592.50since 2026-09-01 | Lump Sum | — | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| 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) | $682.26since 2024-07-01 | day | — | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – PRP and Speci |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $62.50since 2024-01-01 | encounter | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| TexasAgency provider · Texas Deaf-Blind with Multiple Disabilities (DBMD) waiver | $35.09since 2025-09-01 | hour | $35.09 | Paid by the state, outside plans | — | HHSC PFD DBMD payment rates (9-1-2025-db |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia developmental disability waivers (Building Independence, Family and Individual Supports, Community Living) | $23.08since 2026-07-01 | hour | $23.08 | Paid by the state, outside plans | — | DMAS Developmental Disabilities Waiver S |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey DMHAS Mental Health Fee-for-Service (state-funded payments for people without Medicaid coverage) | $23.02since 2019-07-01 | 15 min | $92.08 | Not classified | — | DMHAS MH Fee-for-Service NJMHAPP Code an |
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 H2024?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $48.80. Colorado pays the most ($1,592.50 per Lump Sum) and New Jersey the least ($23.02 per 15 min).
Which state pays the highest Medicaid rate for H2024?
Colorado, at $1,592.50 per Lump Sum, effective 2026-09-01.
Do managed-care plans pay the same rate for H2024?
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.