South Dakota Medicaid home health rates
South Dakota Medicaid pays $23.20 per 15 min ($92.80 an hour) for home health nurse visit (rn or LPN) delivered by a registered nurse, effective July 1, 2026, the 8th highest of 14 states with comparable rates. Below: 4 more home health rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Home health nurse visit (RN or LPN)
- $23.20per 15 min · $92.80/hr
- Rank among states
- 8 of 14-3.2% vs median
- Registered nurse median wage
- $37.53BLS May 2025
- South Dakota minimum wage
- $11.85
South Dakota home health rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open South Dakota's official fee schedule.
| Service | Provider level | Code | SD rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Home health nurse visit (RN or LPN) | Registered nurse | G0299 | $23.20 | 15 min | $92.80 | 8 of 14 | $23.97/15 min | $15.21 | $155.16 | 14 |
| Home health aide visit | Aide or attendant | G0156 | $11.17 | 15 min | $44.68 | — | $52.32/visit | $18.04 | $80.62 | 14 |
| Home health physical therapy | Physical therapist | G0151 | $30.46 | 15 min | $121.84 | 9 of 19 | $120.52/hr | $19.08 | $343.72 | 19 |
| Home health occupational therapy | Occupational therapist | G0152 | $30.46 | 15 min | $121.84 | 8 of 18 | $117.42/hr | $19.08 | $278.92 | 18 |
| Home health speech therapy | Speech-language pathologist | G0153 | $24.14 | 15 min | $96.56 | 11 of 16 | $29.51/15 min | $4.77 | $137.61 | 16 |
Home health nurse visit (RN or LPN): where South Dakota ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | District of Columbia | $155.16 | 15 min | $620.64 | 2026-10-01 |
| 2 | Texas | $98.92 | 15 min | $395.68 | 2018-01-01 |
| 3 | Michigan | $89.08 | 15 min | $356.32 | 2023-10-01 |
| 4 | Delaware | $49.07 | 15 min | $196.28 | 2026-01-01 |
| 5 | Nevada | $28.46 | 15 min | $113.84 | 2024-01-01 |
| 6 | Arizona | $24.73 | 15 min | $98.92 | 2019-10-01 |
| 7 | Louisiana | $24.73 | 15 min | $98.92 | 2023-04-03 |
| 8 | South Dakota | $23.20 | 15 min | $92.80 | 2026-07-01 |
| 9 | Oklahoma | $21.45 | 15 min | $85.80 | 2024-10-01 |
| 10 | Kansas | $20.00 | 15 min | $80.00 | 2023-12-03 |
| 11 | Rhode Island | $18.36 | 15 min | $73.44 | 2026-10-01 |
| 12 | Pennsylvania | $16.55 | 15 min | $66.20 | 2018-07-01 |
| 13 | Maine | $16.48 | 15 min | $65.92 | 2026-01-01 |
| 14 | California | $15.21 | 15 min | $60.84 | 2026-10-01 |
What it costs to deliver in South Dakota
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | SD median | US median | vs US |
|---|---|---|---|
| Registered nurse | $37.53 | $46.90 | -20.0% |
| Licensed practical nurse | $25.36 | $30.96 | -18.1% |
| Home health / personal care aide | $18.15 | $17.21 | +5.5% |
| Physical therapist | $44.55 | $49.40 | -9.8% |
| Occupational therapist | $40.89 | $48.24 | -15.2% |
| Speech-language pathologist | $31.58 | $47.05 | -32.9% |
Recent South Dakota home health rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Tracking Log entry 20: Home Health Services - Implemented Inflationary Increase (effective 2024-07-01) | effective | — | 2024-07-01 |
| Tracking Log entry 62: Home Health Services - Added CPT Codes G0157 and G0158 and rates (effective 2024-01-01) | effective | — | 2024-01-01 |
| Tracking Log entry 90: Home Health Services - Implemented Inflationary Increase (effective 2023-07-01) | effective | — | 2023-07-01 |
| Tracking Log entry 127: Home Health Services - Implemented Inflationary Increase (effective 2022-07-01) | effective | — | 2022-07-01 |
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.
Rates are taken from South Dakota's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.