Home health Medicaid rates in Utah rank near the top of the country on both of the disciplines that can be compared. Utah Medicaid pays $79.96 per home health aide visit on T1021, ranking 2nd of 14 ranked states and sitting 52.8% above the national median of $52.32. Physical therapy on G0151 pays $82.62 per 15 minutes, or $330.48 an hour, also 2nd of 19 states and 174.2% above the national median of $120.52.
In both rankings, only one state pays more: Minnesota for aide visits at $80.62 and Michigan for physical therapy at $343.72 an hour. The trade-off in Utah is administrative: most home health codes carry several prior authorization rules.
Utah's aide rate on code T1021 took effect on July 1, 2026. At $79.96 per visit it is second only to Minnesota and ahead of Mississippi ($75.48), New Jersey ($66.66) and Arkansas ($66.63). The lowest-paying states are North Dakota ($20.56), Hawaii ($20.00) and Florida ($18.04).
The median Utah home health aide earned $17.25 an hour in May 2025, almost exactly the US median of $17.21. Because T1021 is paid per visit, the rate does not grow with visit length. An agency earns $79.96 for a visit whatever it runs, so short, well-planned aide visits on dense routes capture the most of Utah's strong rate.
That combination, a top-two rate paired with a wage right at the national median, is what makes Utah's aide line unusual. In most states with high aide rates, wages are also high. In Utah, the rate's advantage is not absorbed by labor cost.
Physical therapy is Utah's most valuable home health line. At $330.48 an hour on code G0151, effective since July 1, 2024, Utah is far above New Mexico ($198.64), Delaware ($197.00) and Rhode Island ($177.08), the next states in the ranking.
The wage picture makes the rate stronger still. The median Utah physical therapist earned $48.02 an hour, a little under the US median of $49.40. That wage is 20.7% of the hourly rate, leaving a margin of $262.23 per billed hour after a loaded wage, before drive time and overhead.
Occupational and speech therapy are priced per day rather than per unit:
| Discipline | Code | Utah rate | Unit | Effective since |
|---|---|---|---|---|
| Physical therapy | G0151 | $82.62 | 15 min | 2024-07-01 |
| Occupational therapy | S9129-TN | $264.78 | day | 2026-07-01 |
| Speech therapy | S9128 | $151.30 | day | 2026-07-01 |
| Nursing | T1030 | $151.30 | day | 2026-07-01 |
| Aide visit | T1021 | $79.96 | visit | 2026-07-01 |
Per-day rates cannot be placed on the hourly or 15-minute scales without knowing how long the day's care runs, so Utah is not ranked for occupational therapy, speech therapy or nursing. Utah therapists' wages are below the US medians for those roles: $46.71 an hour for occupational therapists against $48.24, and $44.02 for speech-language pathologists against $47.05.
Utah's schedule mixes three units, and each rewards something different.
Per visit for aides
T1021 pays once per visit. Efficiency is what counts: the shorter the drive and the more focused the visit, the more of the $79.96 stays with the agency.
Per 15 minutes for physical therapy
G0151 pays by documented time. Longer physical therapy sessions earn more, so complete documentation of treatment time is the main revenue control on the strongest line in the schedule.
Per day for nursing, occupational and speech therapy
T1030, S9129 and S9128 each pay once per patient per day. The rate is the same whether the day's care takes 30 minutes or two hours. These lines reward short, focused contacts and penalize extended ones.
Utah pays home health nursing at $151.30 per day on T1030, with 2 prior authorization rules attached. The median Utah registered nurse earned $40.67 an hour in May 2025, below the US median of $46.90, and licensed practical nurses earned $30.40, against $30.96.
At those wages, a daily rate of $151.30 covers a typical nursing contact comfortably, with room for travel. The skilled nursing G-codes G0299 and G0300 carry no prior authorization rules, while T1030 does, so agencies should be clear which code applies to each patient's nursing before the first visit. Patients needing continuous hourly nursing fall under Utah's private duty nursing benefit instead, which has had its own MIB updates on nursing hours; see Utah private duty nursing rates.
Utah's strong rates come with prior authorization rules on most home health codes:
- Four rules each: G0151 (physical therapy), S9128 (speech therapy), S9129 (occupational therapy) and T1021 (aide visit).
- Two rules each: G0153, S9131 and T1030.
- None listed: the skilled nursing codes G0299 and G0300.
No unit limits are listed. For an agency, four rules on the aide and therapy codes mean that start of care depends on getting approvals right, and a visit delivered without one earns nothing. Building an authorization workflow that runs ahead of scheduling is part of the cost of capturing Utah's top-ranked rates.
The heaviest authorization load sits on the two most valuable lines: the aide visit and physical therapy. That is where authorization speed turns directly into revenue, and where a dedicated intake process pays for itself.
For home health, Utah's rule is that plans negotiate their own rates, and the published rate applies out of network. Physical, occupational and speech therapy and private duty nursing follow the same rule. Home and community-based services and personal care are handled differently: both are paid directly by the state, outside managed care, which covers waiver programs such as the Utah Aging waiver and the New Choices waiver.
Utah counts 27 plans, including Healthy U, Molina Healthcare of Utah, SelectHealth Community Care and Health Choice Utah, alongside behavioral health and dental plans. An agency in network bills at its contract rate, which may be above or below the published schedule; one out of network bills at the published rate. Given how high Utah's fee-for-service rates are, they are a strong anchor for those negotiations. See the Utah managed care page for every service line.
Utah communicates home health changes through Medicaid Information Bulletins (MIBs), and several affect the current schedule:
- MIB September 2026 26-91, Home Health Modifier Update. Effective July 1, 2026.
- MIB July 2026 26-83, Multiple Members Served Modifiers (UN, UP, UQ, UR, US). Effective July 1, 2026.
- MIB September 2024 24-74, Private Duty Nursing Updates. Effective September 1, 2024.
- MIB May 2024 24-39, Updates to Section I: General Information and Home Health Provider. Effective May 1, 2024.
The two 2026 modifier changes share the July 1, 2026 date of the current aide, nursing, occupational and speech therapy rates. As their name indicates, the multiple members served modifiers identify visits where one clinician serves more than one member in the same setting. Agencies billing modifiers should confirm their claims match the updated requirements, and check whether claims submitted since July 1 need correction, since MIB 26-91 was published after its effective date.
Electronic visit verification also applies to Utah home health, under MIB 22-51 from May 2022, so visit records and claims need to match.
Utah is a top-two state for both aide visits and physical therapy, a combination few states match. Its closest regional comparison is Nevada, which pays $75.24 an hour for physical therapy, one of the three lowest-listed rates. At the far end of the ranking, Ohio lists $19.08. For a Mountain-region agency, the gap between Utah and its neighbors is one of the widest in the country.
Home health is a small part of Utah's published schedule. Physician and practitioner services make up most of the state's current rates, followed by radiology, pharmacy and laboratory services. Those neighboring lines still shape a home health agency's business.
Physician rates influence how readily practices take Medicaid patients, and those practices write most home health orders. Waiver programs such as the Utah Aging waiver and the New Choices waiver, paid directly by the state, are where many long-term patients go once a home health episode ends. And Utah's Traditional and Non-Traditional fee-for-service plans cover different benefit packages, so agencies should confirm which plan a member is enrolled in before assuming home health coverage. See Utah home care rates for the personal care line that often follows home health.
- Grow aide and physical therapy lines. They rank 2nd nationally and carry the widest margins.
- Staff intake for authorization. The most valuable codes carry four rules each.
- Keep per-day visits focused. Nursing, occupational and speech therapy pay the same for short and long days.
- Anchor plan contracts to the schedule. Plans negotiate, and Utah's published rates are a strong starting point.
- Audit modifiers since July 2026. Two modifier changes took effect that month.
Every rate here is compiled from official Utah Medicaid publications, including the Utah Medicaid Coverage and Reimbursement Lookup fee schedule, and links to its source document. Utah publishes all 44,888 current Medicaid rates across 120 service categories. Rankings compare aide visits per visit and physical therapy per hour; per-day rates are shown but not ranked. Wages are May 2025 medians.
The Utah Medicaid rates page shows the full schedule, the national home health page compares every state, and our methodology explains how units are converted and ranked.