S5170 Medicaid reimbursement rates by state
Home delivered meals, including preparation; per meal. 32 state Medicaid programs publish a fee-for-service rate for S5170 at the clinical nurse specialist level. Rates run from $4.96 in Mississippi to $150.00 in California, with a median of $8.59.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 32
- Median rate
- $8.59units vary by state
- Highest
- $150.00California
- Medicare (non-facility)
- —not on the physician fee schedule
S5170 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 |
|---|---|---|---|---|---|---|
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal home & community-based waiver services | $150.00since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska 1915(c) home and community-based waivers (Senior and Disabilities Services) | $33.20⚠ over 3× mediansince 2026-07-01 | meal | — | Not classified | — | Chart of Waiver Services Rates (FY27) |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329) | $16.00since 2026-07-01 | day | — | Plans must pay at least this | — | HSP Rates and Fees (Medicaid Waiver Serv |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $15.00since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $12.78since 2025-07-01 | meal | — | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2025) |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $12.77since 2026-10-01 | 1 Unit per Meal | — | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $11.50since 2026-07-01 | meal | — | Not classified | — | South Dakota Medicaid Physician fee sche |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri Aged and Disabled Waiver (DHSS, 1915(c)) | $10.99since 2026-07-01 | meal | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Aged and Disa |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Med-QUEST HCBS fee-for-service rates (QI memos) | $10.50since 2025-01-01 | meal | — | Plans negotiate; applies out of network | — | Med-QUEST memo QI-2501A: 2025 |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada HCBS Waiver for Persons with Physical Disabilities (provider type 58, fee-for-service) | $10.31since 2024-11-18 | meal | — | Paid by the state, outside plans | — | Provider Type 58 Home and Community Base |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $9.30since 2025-07-01 | meal | — | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $9.24since 2025-07-01 | meal | — | Not classified | — | Montana Healthcare Programs Fee Schedule |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare Home and Community Benefits for the Elderly and Adults with Disabilities (MBM Section 19 waiver, fee-for-service) | $9.16since 2026-01-01 | meal | — | Not classified | — | MaineCare Section 19 Elderly and Adults |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Home and Community Based (HCB) 1915(c) waiver | $9.08since 2025-01-01 | meal | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Home Care Waiver (ODM) | $8.80since 2026-04-17 | meal | — | Plans negotiate; applies out of network | — | OAC 5160-46-06 (Register of Ohio final f |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Choices for Independence (CFI) 1915(c) waiver | $8.68since 2024-01-01 | meal | — | Paid by the state, outside plans | — | 2024 Fee Schedule - HCBC CFI Covered Pro |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington ALTSA home and community services (other HCBS) | $8.50since 2022-07-01 | EA | — | Paid by the state, outside plans | — | DSHS ORM Home & Community Based Rates Hi |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Elderly and Disabled Waiver (CCSP and SOURCE) | $8.15since 2024-07-01 | meal | — | Paid by the state, outside plans | — | Part II Policies and Procedures: EDWP - |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Community Choices Waiver (1915(c), elderly and physically disabled) | $7.88since 2023-04-01 | meal | — | Not classified | — | CCW Waiver Fee Schedule - Effective Apri |
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS Health and Disability (HD) 1915(c) waiver | $7.78since 2022-07-01 | — | — | Plans must pay at least this | — | Iowa Medicaid Consumer Choice Option (CC |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Health & Wellness Waiver (adults with disabilities under 60; formerly A&D) | $7.76since 2023-07-01 | unit | — | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina CAP consumer-directed option (CAP/CD) | $7.70since 2025-10-01 | Each | — | Paid by the state, outside plans | — | NC Medicaid fee schedule 'CAP- Consumer |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Brain Injury (BI) waiver | $7.51since 2026-01-01 | One Meal Per Day | — | Paid by the state, outside plans | — | Long-Term Services and Supports Service |
| 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)) | $7.40since 2025-11-01 | per unit | — | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid home care and personal care (fee-for-service) | $7.36since 2026-07-01 | meal | — | Plans must pay at least this | — | RI Medicaid Interactive Fee For Service |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $7.34since 2008-07-01 | meal | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Community Choices Waiver (OAAS 1915(c) waiver for older adults and adults with disabilities) | $7.20since 2026-10-01 | per service/meal | — | Paid by the state, outside plans | — | Community Choices Waiver services proced |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Adults with Developmental Disabilities 1915(c) Waiver (ID.0076) | $6.78since 2026-07-01 | meal | — | Paid by the state, outside plans | — | Adult Developmental Disabilities Waiver |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $6.46since 2025-09-01 | meal | — | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma ADvantage 1915(c) waiver (older adults and adults with physical disabilities) | $6.44since 2024-10-01 | meal | — | Paid by the state, outside plans | — | Reimbursement Rates for Services, ADvant |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas ARChoices in Homecare 1915(c) waiver | $5.97since 2022-08-25 | meal | — | Paid by the state, outside plans | — | Arkansas Medicaid ARChoices Fee Schedule |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Independent Living (IL) 1915(c) waiver | $4.96since 2020-03-01 | meal | — | Paid by the state, outside plans | — | MS DOM Independent Living Waiver fee sch |
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 S5170?
It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $8.59. California pays the most ($150.00) and Mississippi the least ($4.96 per meal).
Which state pays the highest Medicaid rate for S5170?
California, at $150.00, effective 2026-10-01.
Do managed-care plans pay the same rate for S5170?
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.
Related Other home & community services codes
96158Positive behavioral interventions and support · 38 statesT1016Case management, each 15 minutes · 35 statesT1017Targeted case management, each 15 minutes · 35 statesT1005Respite care services, up to 15 minutes · 34 statesT1001Nursing assessment / evaluation · 33 statesS5125Attendant care services; per 15 minutes · 32 statesT2025Waiver services; not otherwise specified (nos) · 30 statesS5150Unskilled respite care, not hospice; per 15 minutes · 29 statesS5161Emergency response system; service fee, per month · 27 statesG0101Respite care (daily) · 26 statesT2022Case management, per month · 26 statesS5160Emergency response system; installation and testing · 25 states
Track S5170 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.