S0281 Medicaid reimbursement rate by state (2026)
Medical home program. Medicaid pays a median of $125.75 for S0281 across 9 states, from $12.50 in Nevada to $380.56 in Virginia.
- States publishing
- 9
- National median
- $125.75units vary by state
- Lowest
- $12.50Nevada
- Highest
- $380.56Virginia
What does Medicaid pay for S0281?
9 state Medicaid programs publish a fee-for-service rate for S0281. The national median is $125.75 (units differ between states). Virginia pays the most, $380.56, and Nevada the least, $12.50 per 15 min, a 30.4x spread.
S0281 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S0281?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $125.75. Virginia pays the most ($380.56) and Nevada the least ($12.50 per 15 min).
Which state pays the highest Medicaid rate for S0281?
Virginia, at $380.56, effective 2023-07-01.
Do managed-care plans pay the same rate for S0281?
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.