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S9128 Medicaid reimbursement rates by state

Speech therapy, in the home, per diem. 7 state Medicaid programs publish a fee-for-service rate for S9128 at the therapist slp level. Rates run from $40.00 in Kansas to $264.78 in Utah, with a median of $105.98.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
7
Median rate
$105.98units vary by state
Highest
$264.78Utah
Medicare (non-facility)
—not on the physician fee schedule

S9128 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
UtahSpeech-language pathologist · Utah Medicaid (fee-for-service, Traditional plan)$264.78⚠ over 3× mediansince 2026-07-01day—Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
ArizonaSpeech-language pathologist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$138.86since 2026-10-01——Plans expected to pay at least this—AHCCCS Final FFS Home and Community Base
MinnesotaSpeech-language pathologist · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$110.07since 2026-01-01day—Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
GeorgiaSpeech-language pathologist · Georgia Elderly and Disabled Waiver (CCSP and SOURCE)$105.98since 2024-07-01visit—Paid by the state, outside plans—Part II Policies and Procedures: EDWP -
VermontSpeech-language pathologist · Vermont Medicaid (fee-for-service, DVHA)$68.00since 2010-01-01day—Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
New JerseySpeech-language pathologist · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$48.00since 2025-01-01day—Not classified—NJMMIS Procedure Master Listing CPTHCPCS
KansasSpeech-language pathologist · MediKan (Kansas state-funded medical program, KMAP fee schedule)$40.00since 2002-09-01day—Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched

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 S9128?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $105.98. Utah pays the most ($264.78 per day) and Kansas the least ($40.00 per day).

Which state pays the highest Medicaid rate for S9128?

Utah, at $264.78 per day, effective 2026-07-01.

Do managed-care plans pay the same rate for S9128?

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

Track S9128 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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