Nursing home payment method parameter: Medicaid rates by state

States publish nursing home payment method parameter under their own codes, modifiers and units. To compare them, this page picks the rate in each state that matches the same service and provider level.

• Provider level. States are compared at the same provider level wherever the schedule distinguishes one. Rates for other levels on file (any qualified provider) are kept separate, never mixed into this ranking.
• Unit. Of the 9 states, 2 publish their headline rate per day, 2 per percent, 1 per bed and 2 in other units, and 2 schedules print no unit at all (a flat amount per service). The ranking uses the rate as published, so read the unit before comparing two states.
• Variants. 8 of the 9 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. 97 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, Mississippi, pays $137,795.00; the lowest, District of Columbia, pays $1.52, a 90654.6x gap. 9 of the 9 states pay above the median of —. Common reasons rates for nursing facility services spread this way:

• Nursing facility rates are usually set per facility from cost reports and adjusted for the acuity of the residents, so a state figure is a reference point.

Billing notes

Nursing facility care is paid per resident day.