S9124 Medicaid reimbursement rates by state
Nursing care, in the home; by licensed practical nurse. 27 state Medicaid programs publish a fee-for-service rate for S9124 at the lpn level. Rates run from $12.89 in New Jersey to $98.87 in Iowa, with a median of $26.45.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 27
- Median rate
- $26.45units vary by state
- Highest
- $98.87Iowa
- Medicare (non-facility)
- —not on the physician fee schedule
S9124 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 |
|---|---|---|---|---|---|---|
| IowaLicensed practical / vocational nurse (LPN / LVN) · Iowa HCBS Intellectual Disability (ID) 1915(c) waiver | $98.87since 2025-08-01 | hour | $98.87 | Not classified | — | HCBS Habilitation and Waiver Upper Rate |
| South DakotaLicensed practical / vocational nurse (LPN / LVN) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $77.36since 2026-07-01 | hour | $77.36 | Not classified | — | South Dakota Medicaid PDN fee schedule ( |
| UtahLicensed practical / vocational nurse (LPN / LVN) · Utah Medicaid (fee-for-service, Traditional plan) | $75.10since 2008-10-01 | hour | $75.10 | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| OregonLicensed practical / vocational nurse (LPN / LVN) · Oregon Health Plan (fee-for-service, OHA) | $58.90since 2023-07-01 | hour | $58.90 | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| DelawareLicensed practical / vocational nurse (LPN / LVN) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $57.04since 2024-01-01 | hour | $57.04 | Plans negotiate; applies out of network | — | DMAP 2024 Physician Fee Schedule |
| New HampshireLicensed practical / vocational nurse (LPN / LVN) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $54.89since 2024-01-01 | hour | $54.89 | Plans must pay at least this | — | 2026 Fee Schedule - Covered Procedures R |
| PennsylvaniaLicensed practical / vocational nurse (LPN / LVN) · Pennsylvania Medical Assistance (fee-for-service) | $50.00since 2005-10-01 | hour | $50.00 | State-directed payment | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| ArizonaLicensed practical / vocational nurse (LPN / LVN) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $49.95since 2026-10-01 | hour | $49.95 | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| LouisianaLicensed practical / vocational nurse (LPN / LVN) · Louisiana Medicaid (fee-for-service) | $48.50since 2023-04-03 | hour | $48.50 | Plans must pay at least this | — | Louisiana Medicaid Home Health Services |
| ConnecticutLicensed practical / vocational nurse (LPN / LVN) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $48.18since 2021-07-01 | hour | $48.18 | Not classified | — | CMAP fee schedule: Home Health Services |
| NevadaLicensed practical / vocational nurse (LPN / LVN) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $42.26since 2024-01-01 | hour | $42.26 | Plans must pay at least this | — | Provider Type 29 Home Health Agencies an |
| CaliforniaLicensed practical / vocational nurse (LPN / LVN) · California Medi-Cal for children under 21 (EPSDT, fee-for-service) | $36.63since 2026-10-01 | hour | $36.63 | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| TexasLicensed practical / vocational nurse (LPN / LVN) · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $29.69since 2025-09-01 | hour | $29.69 | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| NebraskaLicensed practical / vocational nurse (LPN / LVN) · Nebraska Medicaid (fee-for-service) | $26.45since 2026-07-01 | hour | $26.45 | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| WisconsinLicensed practical / vocational nurse (LPN / LVN) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $25.17since 2022-01-01 | hour | $25.17 | Plans may pay no more | — | ForwardHealth max fee schedule: Home Car |
| New YorkLicensed practical / vocational nurse (LPN / LVN) · New York Medicaid (fee-for-service) | $24.97since 2022-04-01 | hour | $24.97 | Plans negotiate; applies out of network | — | eMedNY NYS Medicaid Private Duty Nursing |
| KansasLicensed practical / vocational nurse (LPN / LVN) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $21.50since 2002-07-01 | hour | $21.50 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN LEA (FeeSchedule_2 |
| AlabamaLicensed practical / vocational nurse (LPN / LVN) · Alabama Community Waiver Program (1115 demonstration with 1915(c)/1915(i) services; ADMH-DDD) | $20.80since 2020-12-17 | hour | — | Not classified | — | ADMH Community Waiver Program Rate Sheet |
| VirginiaLicensed practical / vocational nurse (LPN / LVN) · Virginia Medicaid (fee-for-service, DMAS) | $20.46since 2026-07-01 | hour | $20.46 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| ArkansasLicensed practical / vocational nurse (LPN / LVN) · Arkansas Medicaid (fee-for-service) | $19.00since 2025-06-04 | hour | $19.00 | Not classified | — | Arkansas Medicaid Private Duty Nursing F |
| MontanaLicensed practical / vocational nurse (LPN / LVN) · Montana Big Sky Waiver for elderly and physically disabled adults (1915(c), fee-for-service) | $15.86since 2025-07-01 | 15 min | $63.44 | Not classified | — | Montana Healthcare Programs fee schedule |
| GeorgiaLicensed practical / vocational nurse (LPN / LVN) · Georgia Independent Care Waiver Program (adults with physical disabilities or brain injury) | $15.85since 2024-07-01 | 15 min | $63.40 | Paid by the state, outside plans | — | Part II Policies and Procedures: Indepen |
| HawaiiLicensed practical / vocational nurse (LPN / LVN) · Hawaii Med-QUEST HCBS fee-for-service rates (QI memos) | $15.00since 2026-01-01 | 15 min | $60.00 | Plans negotiate; applies out of network | — | Med-QUEST memo QI-2604A: 2026 |
| MississippiLicensed practical / vocational nurse (LPN / LVN) · Mississippi Medicaid (fee-for-service) | $14.95since 2023-07-01 | hour | $14.95 | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, June 202 |
| FloridaLicensed practical / vocational nurse (LPN / LVN) · Florida Medicaid (fee-for-service) | $14.07since 2026-01-01 | /hr | $14.07 | Plans negotiate; applies out of network | — | Private Duty Nursing Services Fee Schedu |
| North CarolinaLicensed practical / vocational nurse (LPN / LVN) · North Carolina Medicaid Direct (fee-for-service) | $13.00since 2025-10-01 | 15 min. | $52.00 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Private Duty N |
| New JerseyLicensed practical / vocational nurse (LPN / LVN) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $12.89since 2026-07-01 | hour | $12.89 | Plans must pay at least this | — | NJMMIS Procedure Master Listing CPTHCPCS |
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 S9124?
It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $26.45. Iowa pays the most ($98.87 per hour) and New Jersey the least ($12.89 per hour).
Which state pays the highest Medicaid rate for S9124?
Iowa, at $98.87 per hour ($98.87 per hour), effective 2025-08-01.
Do managed-care plans pay the same rate for S9124?
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 Home health codes
T4535Disposable liner/shield/guard/pad/undergarment · 38 statesG0299Direct skilled nursing services of a registered nurse · 25 statesG0151Services performed by a qualified physical therapist in the... · 23 statesG0152Services performed by a qualified occupational therapist in... · 22 statesG0153Services performed by a qualified speech-language... · 22 statesG0238Therapeutic procedures to improve respiratory function · 21 statesG0300Direct skilled nursing services of a licensed practical... · 20 statesG0499Hepatitis b screening in non-pregnant · 20 statesG0156Services of home health/hospice aide in home health or... · 17 statesT1030Nursing care, in the home, by registered nurse, per diem · 14 statesT1021Home health aide or certified nurse assistant, per visit · 13 statesQ0237Injection, tocilizumab-anoh · 12 states
Track S9124 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.