S9122 Medicaid reimbursement rates by state
Home health aide or certified nurse assistant. 8 state Medicaid programs publish a fee-for-service rate for S9122 at the aide level. Rates run from $6.42 in North Carolina to $27.36 in Pennsylvania, with a median of $14.50.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $14.50units vary by state
- Highest
- $27.36Pennsylvania
- Medicare (non-facility)
- —not on the physician fee schedule
S9122 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 |
|---|---|---|---|---|---|---|
| PennsylvaniaAide or attendant (HHA, CNA, PCA, home care aide) · Pennsylvania Medical Assistance (fee-for-service) | $27.36since 2022-05-01 | per unit | — | Plans negotiate; applies out of network | — | 52 Pa.B. 2297 Medical Assistance Program |
| New JerseyAide or attendant (HHA, CNA, PCA, home care aide) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $25.50since 2025-01-01 | hour | $25.50 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| NebraskaAide or attendant (HHA, CNA, PCA, home care aide) · Nebraska Medicaid (fee-for-service) | $25.32since 2026-07-01 | hour | $25.32 | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| CaliforniaAide or attendant (HHA, CNA, PCA, home care aide) · California Medi-Cal (fee-for-service) | $18.90since 2026-10-01 | hour | $18.90 | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| VirginiaAide or attendant (HHA, CNA, PCA, home care aide) · Virginia Medicaid (fee-for-service, DMAS) | $10.09since 2007-07-01 | hour | $10.09 | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| FloridaAide or attendant (HHA, CNA, PCA, home care aide) · Florida Medicaid (fee-for-service) | $8.66since 2026-01-01 | /hr | $8.66 | Plans negotiate; applies out of network | — | Personal Care Services Fee Schedule (Upd |
| GeorgiaAide or attendant (HHA, CNA, PCA, home care aide) · Georgia Pediatric Program (GAPP) in-home nursing and personal care for children | $6.63since 2024-07-01 | 15 min | $26.52 | Paid by the state, outside plans | — | Georgia Pediatric Program (GAPP) -July 2 |
| North CarolinaAide or attendant (HHA, CNA, PCA, home care aide) · North Carolina Community Alternatives Program for Children (CAP/C) | $6.42since 2026-08-01 | 15 min | $25.68 | Paid by the state, outside plans | — | NC Medicaid fee schedule 'CAP for Childr |
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 S9122?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $14.50. Pennsylvania pays the most ($27.36 per per unit) and North Carolina the least ($6.42 per 15 min).
Which state pays the highest Medicaid rate for S9122?
Pennsylvania, at $27.36 per per unit, effective 2022-05-01.
Do managed-care plans pay the same rate for S9122?
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.