S5120 Medicaid reimbursement rates by state
Chore services; per 15 minutes. 10 state Medicaid programs publish a fee-for-service rate for S5120 at the aide level. Rates run from $3.75 in Nevada to $500.00 in Utah, with a median of $7.58.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $7.58per 15 min
- Highest
- $500.00Utah
- Medicare (non-facility)
- —not on the physician fee schedule
S5120 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 |
|---|---|---|---|---|---|---|
| UtahAide or attendant (HHA, CNA, PCA, home care aide) · Utah New Choices 1915(c) waiver | $500.00⚠ over 3× mediansince 2022-01-01 | 15 min | $2,000.00 | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota HOPE Waiver (1915(c) elderly and adults with physical disabilities; DHS Long Term Services and Supports) | $10.81since 2026-07-01 | 15 min | $43.24 | Not classified | — | South Dakota Medicaid HOPE Waiver Fee Sc |
| New JerseyAide or attendant (HHA, CNA, PCA, home care aide) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $10.00since 2025-01-01 | 15 min | $40.00 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska Personal Care Services and Community First Choice (State Plan, SDS) | $9.73since 2026-07-01 | 15 min | $38.92 | Not classified | — | Chart of Personal Care Services and Comm |
| MissouriAide or attendant (HHA, CNA, PCA, home care aide) · Missouri Aged and Disabled Waiver (DHSS, 1915(c)) | $8.14since 2023-07-01 | 15 min | $32.56 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Aged and Disa |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $7.01since 2026-01-01 | 15 min | $28.04 | Not classified | — | MaineCare Section 96 Private Duty Nursin |
| DelawareAgency provider · Delaware PROMISE 1915(i) behavioral health HCBS (DSAMH) | $5.85since 2022-03-25 | 15 min | $23.40 | Paid by the state, outside plans | — | PROMISE Home and Community-Based Service |
| IdahoAgency provider · Idaho Aged and Disabled 1915(c) Waiver (ID.1076) | $4.96since 2026-07-01 | 15 min | $19.84 | Not classified | — | Aged and Disabled Waiver Services |
| MinnesotaAide or attendant (HHA, CNA, PCA, home care aide) · Minnesota Brain Injury (BI) waiver | $4.32since 2026-01-01 | 15 min | $17.28 | Paid by the state, outside plans | — | Long-Term Services and Supports Service |
| NevadaAide or attendant (HHA, CNA, PCA, home care aide) · Nevada HCBS Waiver for the Frail Elderly (provider types 48, 57 and 59, fee-for-service) | $3.75since 2021-07-01 | 15 min | $15.00 | Paid by the state, outside plans | — | Provider Type 48 Home and Community Base |
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 S5120?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $7.58 per 15 min. Utah pays the most ($500.00 per 15 min) and Nevada the least ($3.75 per 15 min).
Which state pays the highest Medicaid rate for S5120?
Utah, at $500.00 per 15 min ($2,000.00 per hour), effective 2022-01-01.
Do managed-care plans pay the same rate for S5120?
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.