S5105 Medicaid reimbursement rates by state
Day care services, center-based. 11 state Medicaid programs publish a fee-for-service rate for S5105 at the rn level. Rates run from $2.63 in Wisconsin to $2,000.00 in Massachusetts, with a median of $63.06.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $63.06units vary by state
- Highest
- $2,000.00Massachusetts
- Medicare (non-facility)
- —not on the physician fee schedule
S5105 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 |
|---|---|---|---|---|---|---|
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $2,000.00⚠ over 3× mediansince 2026-10-01 | day | — | Paid by the state, outside plans | — | Rates for Day Habilitation Services (eff |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $287.79⚠ over 3× mediansince 2008-01-01 | day | — | Not classified | — | CMAP fee schedule: Clinic - Rehabilitati |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming DD waivers (Comprehensive and Supports, 1915(c)) | $148.46since 2023-10-01 | day | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS AIDS/HIV 1915(c) waiver | $78.73since 2025-08-01 | Extended Day | — | Not classified | — | HCBS Habilitation and Waiver Upper Rate |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island state-funded / 1115 CNOM human-service programs (Office of Healthy Aging cost share, ORS, Title XX homemaker) | $65.00since 2020-03-01 | day | — | Not classified | — | RI Medicaid Interactive Fee For Service |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Med-QUEST HCBS fee-for-service rates (QI memos) | $63.06since 2025-01-01 | day | — | Plans negotiate; applies out of network | — | Med-QUEST memo QI-2501A: 2025 |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons who are elderly, blind or disabled (EBD) | $51.68since 2026-07-01 | half day | — | Paid by the state, outside plans | — | EBD, CMHS, BI, CIH (effective July 1, 20 |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Community Long Term Care waivers (Community Choices, HIV/AIDS, Mechanical Ventilator Dependent; 1915(c)) | $15.00since 2025-11-01 | day | — | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| NebraskaRegistered nurse (RN) · Nebraska Medicaid (fee-for-service) | $13.91since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma ADvantage 1915(c) waiver (older adults and adults with physical disabilities) | $11.37since 2024-10-01 | day | — | Paid by the state, outside plans | — | Reimbursement Rates for Services, ADvant |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Children's Long-Term Support (CLTS) Waiver (fee-for-service, statewide uniform rate schedule) | $2.63since 2025-01-01 | day | — | Paid by the state, outside plans | — | CLTS Waiver Statewide Uniform Rate Sched |
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 S5105?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $63.06. Massachusetts pays the most ($2,000.00 per day) and Wisconsin the least ($2.63 per day).
Which state pays the highest Medicaid rate for S5105?
Massachusetts, at $2,000.00 per day, effective 2026-10-01.
Do managed-care plans pay the same rate for S5105?
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.