S5162 Medicaid reimbursement rates by state
Emergency response system; purchase only. 6 state Medicaid programs publish a fee-for-service rate for S5162 at the agency level. Rates run from $30.00 in Massachusetts to $1,501.95 in Minnesota, with a median of $145.50.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $145.50units vary by state
- Highest
- $1,501.95Minnesota
- Medicare (non-facility)
- —not on the physician fee schedule
S5162 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 |
|---|---|---|---|---|---|---|
| MinnesotaAgency provider · Minnesota Community First Services and Supports (CFSS) | $1,501.95since 2026-04-01 | Each Time | — | Paid by the state, outside plans | — | Long-Term Services and Supports Service |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Big Sky Waiver for elderly and physically disabled adults (1915(c), fee-for-service) | $924.65⚠ over 3× mediansince 2025-07-01 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| UtahAny qualified provider (rate does not vary by provider) · Utah Acquired Brain Injury 1915(c) waiver | $226.00since 2022-01-01 | — | — | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $65.00since 2024-03-04 | — | — | Plans negotiate; applies out of network | — | Medicaid Fee-For-Service (FFS) Fee Sched |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana New Opportunities Waiver (NOW, OCDD/OIDD 1915(c) waiver for people with intellectual/developmental disabilities) | $50.00since 2025-11-18 | month | — | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $30.00since 2026-03-01 | — | — | Plans negotiate; applies out of network | — | Rates for Durable Medical Equipment, Oxy |
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 S5162?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $145.50. Minnesota pays the most ($1,501.95 per Each Time) and Massachusetts the least ($30.00).
Which state pays the highest Medicaid rate for S5162?
Minnesota, at $1,501.95 per Each Time, effective 2026-04-01.
Do managed-care plans pay the same rate for S5162?
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.