Requisition fee for adaptive aids or home modifications: Medicaid rates by state

A billing code alone doesn't make a fair comparison: states bill requisition fee for adaptive aids or home modifications under different codes, units and provider types. This benchmark lines up one comparable rate per state.

• Provider level. States are compared at the agency provider level. Rates for other levels on file (case manager / support coordinator) are kept separate, never mixed into this ranking.
• Unit. Of the 2 states, 1 publish their headline rate per one time and 1 per per service. The ranking uses the rate as published, so read the unit before comparing two states.
• Variants. 2 of the 2 states publish more than one rate for this service (by modifier, program, setting or provider type); the headline rate is the one that matches the comparison, and the workspace lists every variant.
• Depth. 336 rates for this service are on file across all states, versions and provider levels; this page shows one headline rate per state.

The highest-paying state, Texas, pays $147.02; the lowest, Louisiana, pays $100.00, a 1.5x gap. 2 of the 2 states pay above the median of —. Common reasons rates for other home & community services services spread this way:

• Some services are paid per 15 minutes in one state and per day or per month in another.
• Case management may be paid as a monthly rate, a per-contact rate or in 15-minute units.
• Home and community-based services are often paid under waivers, and each waiver can set its own rate for the same service.

Billing notes

Units range from 15 minutes to a day or a month, so a per-unit comparison only holds when the states use the same unit.