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New Hampshire Medicaid reimbursement rates

26,581 current fee-for-service and managed-care rates from New Hampshire Medicaid, across 111 services and 12 programs, normalized by code, provider level and unit. Each links to one of 40 official source documents.

Last retrieved 2026-10-05. History back to 1992-01-01.

Current rates
26,581
Services
111
Programs
12
Lines with a plan rule
11of 21 service lines

By industry

New Hampshire rates by service

The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.

ServiceLineMedian rateUnitPer hourVariants
ABA assessment by a behavior analystABA / autism services$16.4315 min$65.722
ABA parent and caregiver trainingABA / autism services$16.4315 min$65.721
ABA therapy with 2+ technicians (severe behavior)ABA / autism services$35.5815 min$142.321
ABA therapy with plan changes by an analystABA / autism services$16.4315 min$65.721
Group ABA therapy led by a technicianABA / autism services$6.5015 min$26.001
One-on-one ABA therapy by a technicianABA / autism services$17.7915 min$71.162
Assertive Community Treatment (ACT) teamBehavioral health$23.87day—2
Behavioral health day treatmentBehavioral health$132.20——2
Behavioral health services (fee schedule)Behavioral health$66.50—$111.44171
Community-based wraparound servicesBehavioral health$126.1815 min$67.7236
Family or youth peer support (child)Behavioral health$16.5415 min$66.162
Family support (behavioral health)Behavioral health$11.2515 min$45.002
Intensive home-based treatment (IHBT)Behavioral health$64.62day—2
Mental health counselingBehavioral health$27.38——1
Outpatient psychotherapy and diagnostic evaluationBehavioral health$89.19—$142.14132
Peer support (behavioral health)Behavioral health$25.6915 min$102.761
Screening, brief intervention and referral (SBIRT)Behavioral health$71.18——2
Therapeutic behavioral servicesBehavioral health$19.4015 min$77.5810
Therapeutic behavioral services (daily rate)Behavioral health$278.85day—8
FQHC / RHC visit (PPS or APM rate)Clinics (FQHC/RHC)$319.64——99
Dental servicesDental$170.19——358
Durable medical equipmentEquipment & supplies$78.88—$73.48634
Enteral and parenteral nutritionEquipment & supplies$10.63day—39
Medical suppliesEquipment & supplies$14.75——586
Orthotics and prostheticsEquipment & supplies$494.70—$120.12827
Adult day servicesOther home & community services$85.00day—3
Adult foster careOther home & community services$86.91day—4
Assisted living / alternative living servicesOther home & community services$100.37day—3
Automated medication dispenser installationOther home & community services$64.38month—2
Automated medication dispenser monthly serviceOther home & community services$42.92month—2
Case management / support coordinationOther home & community services$301.4915 min$1,701.3618
Community transition (moving out of an institution)Other home & community services$237.17——2
Emergency response system monitoringOther home & community services$40.68month—4
Financial management services (self-direction)Other home & community services$96.55month—1
HCBS waiver service (other)Other home & community services$80.4715 min$16.8010
Home-delivered mealsOther home & community services$8.68meal—3
Interpreter servicesOther home & community services$12.3215 min$49.286
Nursing assessmentOther home & community services$32.09——7
Respite care (daily)Other home & community services$55.34day—4
Respite care (hourly)Other home & community services$4.6715 min$18.687
Service planning meetingOther home & community services$103.65——2
Supportive housing and housing transition supportsOther home & community services$39.83day$67.722
Transitional care coordination (children's waiver)Other home & community services$52.73day—2
Home health aide visitHome health$42.7515 min$33.165
Home health nurse visit (RN or LPN)Home health$129.00day—5
Home health occupational therapyHome health$23.4815 min$93.921
Home health physical therapyHome health$25.4515 min$101.801
Home health speech therapyHome health$18.4015 min$73.601
Hospice continuous home care (hourly)Hospice$857.55hour$71.2416
Hospice general inpatient care (daily)Hospice$1,219.95——8
Hospice inpatient respite (daily)Hospice$540.59——8
Hospice routine home care (daily)Hospice$208.60——16
Hospice wage index (area factor)Hospice$0.989——3
Inpatient DRG pricing input (outlier, cost ratio, stay)Hospital inpatient$1,388.10——3940
Inpatient DRG relative weightHospital inpatient$1.65——770
Inpatient hospital cost-to-charge ratioHospital inpatient$61.90% of billed charges—1
Inpatient hospital payment for one DRGHospital inpatient$11,629.36——2400
Inpatient hospital payment methodHospital inpatient$60.00% of the DRG per diem—1
Inpatient hospital stay (DRG base rate)Hospital inpatient$7,526.72——8
Inpatient payment adjustment factorHospital inpatient$29.00% increase to the DRG rate—2
Inpatient rate add-on (education, wage, directed payment)Hospital inpatient$1,961.01——57
Outpatient hospital (percent of charges or cost)Hospital outpatient$11.00% of charges—118
Outpatient hospital payment methodHospital outpatient$57.44% of allowable costs—5
Surgery center facility fee (per procedure)Hospital outpatient$335.03——3357
Behavior support services (disability waiver)IDD services$41.8315 min$137.4212
Community integration / community access (IDD)IDD services$7.5315 min$30.104
Consultative clinical assessment (IDD)IDD services$246.78——6
Crisis intervention for people with I/DD (waiver)IDD services$7.7915 min$31.162
Crisis services for people with I/DD (monthly tier)IDD services$6,450.55——5
Day habilitation / day program (IDD)IDD services$6.6515 min$23.6412
ICF/IID stay (daily rate)IDD services$974.59day—4
Residential habilitation / group home supportsIDD services$315.33day—15
Supported employment (job coaching)IDD services$14.5915 min$29.5613
Clinical lab testsLab & pathology$15.40——1370
Nursing home payment method parameterNursing facility$50.00% of the statewide average budget-adjusted NF per diem—2
Nursing home stay (daily rate)Nursing facility$271.22day—71
Specialty nursing home daily rate (pediatric or IDD class)Nursing facility$387.22day—12
Swing-bed stay (hospital bed used for nursing-home care)Nursing facility$194.18day—16
Birth center delivery facility rateOther$2,143.37——5
Directed payment: required minimum or maximum levelOther$80.00percent of FFS State Plan fee schedule—1
Foster care agency health services (daily rate)Other$193.52day—4
Foster care board and care payment (non-Medicaid)Other$79.90day—4
Managed care capitation rateOther$1,715.11month—63
Home health aide or nurse aide care (hourly)Personal care & attendant$8.2915 min$33.164
Homemaker / housekeeping helpPersonal care & attendant$7.6815 min$30.722
Personal care / attendant care (hourly)Personal care & attendant$8.0015 min$32.006
Physician-administered drugs (J-codes)Pharmacy$15.00——1037
Private duty nursing (hourly shifts)Private duty nursing$69.95hour$69.9510
Waiver nursing (RN or LPN, by the 15 minutes)Private duty nursing$14.7915 min$59.162
Anesthesia base units (per procedure)Physician & professional$5.00——275
Physician and practitioner services (fee schedule)Physician & professional$206.26—$147.227393
Professional / technical component share of a procedure feePhysician & professional$50.00percent—1656
Imaging and radiologyRadiology$123.22——635
Cognitive rehabilitation therapyTherapy (PT/OT/speech)$15.4315 min$61.722
Occupational therapyTherapy (PT/OT/speech)$18.6615 min$74.646
Occupational therapy evaluationTherapy (PT/OT/speech)$65.38——8
Orthotic and prosthetic fitting and trainingTherapy (PT/OT/speech)$19.6615 min$78.643
Physical therapyTherapy (PT/OT/speech)$24.9515 min$99.805
Physical therapy evaluationTherapy (PT/OT/speech)$52.12——8
Speech-generating device evaluationTherapy (PT/OT/speech)$73.73——2
Speech-generating device therapyTherapy (PT/OT/speech)$39.93——1
Speech-language evaluationTherapy (PT/OT/speech)$103.74——8
Speech-language therapyTherapy (PT/OT/speech)$48.93——2
Swallowing and feeding evaluationTherapy (PT/OT/speech)$85.35——2
Swallowing and feeding therapyTherapy (PT/OT/speech)$85.60——2
Ambulance mileageTransportation$2.60mile—3
Ground ambulance transportTransportation$277.68——13
Non-emergency medical transportation (NEMT)Transportation$7.30——2
Waiver transportation (to community activities)Transportation$9.47trip—5
Eyeglasses and contact lensesVision & hearing$10.50——99
Hearing aids and hearing servicesVision & hearing$478.33——42

Most-compared billing codes in New Hampshire

Where New Hampshire ranks among states for codes published widely. Rank 1 = highest rate.

CodeServiceNew HampshireAll-state medianRank
10005Physician and practitioner services (fee schedule)$86.75$85.5524 of 48
10006Physician and practitioner services (fee schedule)$35.06$45.6440 of 48
10007Physician and practitioner services (fee schedule)$180.37$186.9626 of 48
10008Physician and practitioner services (fee schedule)$83.93$92.5126 of 48
10009Physician and practitioner services (fee schedule)$249.27$273.4127 of 48
10010Physician and practitioner services (fee schedule)$139.41$153.3026 of 48
10021Physician and practitioner services (fee schedule)$11.92$71.6847 of 48
10030Physician and practitioner services (fee schedule)$105.29$382.6241 of 48
10060Physician and practitioner services (fee schedule)$41.42$88.7445 of 48
10061Physician and practitioner services (fee schedule)$74.10$153.3045 of 48
10080Physician and practitioner services (fee schedule)$20.25$129.4746 of 48
10081Physician and practitioner services (fee schedule)$82.12$200.5143 of 48
10120Physician and practitioner services (fee schedule)$13.69$98.4147 of 48
10121Physician and practitioner services (fee schedule)$62.41$171.2246 of 48
10140Physician and practitioner services (fee schedule)$89.59$109.7932 of 48
10160Physician and practitioner services (fee schedule)$73.70$86.1032 of 48
10180Physician and practitioner services (fee schedule)$91.96$181.2045 of 48
11000Physician and practitioner services (fee schedule)$36.12$37.5527 of 48
11001Physician and practitioner services (fee schedule)$5.48$17.7846 of 48
11004Physician and practitioner services (fee schedule)$372.29$437.2437 of 48
11005Physician and practitioner services (fee schedule)$507.25$593.3036 of 48
11006Physician and practitioner services (fee schedule)$468.20$545.2237 of 48
11008Physician and practitioner services (fee schedule)$190.52$210.4730 of 48
11010Physician and practitioner services (fee schedule)$227.37$279.2236 of 48
11011Physician and practitioner services (fee schedule)$270.96$321.3433 of 48
11012Physician and practitioner services (fee schedule)$376.60$431.8234 of 48
11042Physician and practitioner services (fee schedule)$27.38$82.7246 of 48
11043Physician and practitioner services (fee schedule)$150.80$165.0932 of 48
11044Physician and practitioner services (fee schedule)$43.80$227.0245 of 48
11055Physician and practitioner services (fee schedule)$10.87$38.3244 of 48
11056Physician and practitioner services (fee schedule)$15.46$45.2544 of 48
11057Physician and practitioner services (fee schedule)$16.60$50.8346 of 48
11102Physician and practitioner services (fee schedule)$66.99$70.0026 of 48
11103Physician and practitioner services (fee schedule)$33.33$36.0426 of 48
11104Physician and practitioner services (fee schedule)$83.22$82.4524 of 48
11105Physician and practitioner services (fee schedule)$38.78$42.0128 of 48
11106Physician and practitioner services (fee schedule)$90.97$100.5930 of 48
11107Physician and practitioner services (fee schedule)$41.56$48.9731 of 48
11300Physician and practitioner services (fee schedule)$24.08$49.3941 of 48
11301Physician and practitioner services (fee schedule)$37.22$63.3639 of 48

Managed care in New Hampshire

5 plans on record, 1 state-directed payment records, 189 published capitation cells.

Who sets the rate, line by line →

Recent rate changes and notices

Frequently asked questions

Where does New Hampshire publish its Medicaid fee schedules?

New Hampshire publishes rates across 40 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.

How many Medicaid rates does New Hampshire publish?

26,581 rates are current across 111 services and 12 programs, with 34,738 versions on record since 1992-01-01.

Do New Hampshire Medicaid managed-care plans pay the fee schedule?

For 11 of 21 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.

Other states

Your New Hampshire rate cardYour codes, what New Hampshire pays, what plans must pay, and every change in 2026.
Medicaid rates by state