Cognitive rehabilitation therapy: Medicaid rates by state
30 states publish a Medicaid rate for cognitive rehabilitation therapy, compared at the therapist slp level. Per hour, rates range from — in Kentucky to $117.72 in Nebraska.
- States
- 30
- Median per hour
- $73.16
- Highest
- $117.72Nebraska
- Lowest
- —Kentucky
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | NebraskaAny qualified provider (rate does not vary by provider) | $29.43 | 15 min | $117.72 | 2026-07-01 | Official source |
| 2 | New MexicoAny qualified provider (rate does not vary by provider) | $26.33 | 15 min | $105.32 | 2024-10-01 | Official source |
| 3 | IowaSpeech-language pathologist | $25.99 | 15 min | $103.96 | 2020-01-01 | Official source |
| 4 | MarylandAny qualified provider (rate does not vary by provider) | $20.69 | 15 min | $82.76 | 2026-01-01 | Official source |
| 5 | CaliforniaAny qualified provider (rate does not vary by provider) | $19.84 | 15 min | $79.36 | 2026-10-01 | Official source |
| 6 | GeorgiaSpeech-language pathologist | $19.84 | 15 min | $79.36 | 2026-10-01 | Official source |
| 7 | TexasSelf-directed worker (hired by the person or family) | $78.53 | hour | $78.53 | 2024-09-01 | Official source |
| 8 | OklahomaAny qualified provider (rate does not vary by provider) | $19.20 | 15 min | $76.80 | 2026-07-01 | Official source |
| 9 | OhioAny qualified provider (rate does not vary by provider) | $19.15 | 15 min | $76.60 | 2026-01-01 | Official source |
| 10 | MissouriAny qualified provider (rate does not vary by provider) | $18.95 | 15 min | $75.80 | 2024-01-01 | Official source |
| 11 | NevadaAny qualified provider (rate does not vary by provider) | $18.88 | 15 min | $75.52 | 2020-01-01 | Official source |
| 12 | WisconsinAny qualified provider (rate does not vary by provider) | $18.86 | 15 min | $75.44 | 2020-01-01 | Official source |
| 13 | ConnecticutAny qualified provider (rate does not vary by provider) | $18.73 | 15 min | $74.92 | 2026-01-01 | Official source |
| 14 | PennsylvaniaAny qualified provider (rate does not vary by provider) | $18.47 | 15 min | $73.88 | 2020-05-26 | Official source |
| 15 | MontanaSpeech-language pathologist | $18.11 | 15 min | $72.44 | 2026-07-01 | Official source |
| 16 | IdahoAny qualified provider (rate does not vary by provider) | $17.84 | 15 min | $71.36 | 2026-07-01 | Official source |
| 17 | ColoradoAny qualified provider (rate does not vary by provider) | $17.51 | 15 min | $70.04 | 2026-07-01 | Official source |
| 18 | VirginiaAny qualified provider (rate does not vary by provider) | $17.07 | 15 min | $68.28 | 2026-07-01 | Official source |
| 19 | OregonAny qualified provider (rate does not vary by provider) | $17.01 | 15 min | $68.04 | 2026-02-01 | Official source |
| 20 | MichiganAny qualified provider (rate does not vary by provider) | $16.68 | 15 min | $66.72 | 2026-01-01 | Official source |
| 21 | MassachusettsAny qualified provider (rate does not vary by provider) | $16.46 | 15 min | $65.84 | 2026-10-01 | Official source |
| 22 | MinnesotaAny qualified provider (rate does not vary by provider) | $16.20 | 15 min | $64.80 | 2026-02-01 | Official source |
| 23 | MaineAny qualified provider (rate does not vary by provider) | $15.80 | 15 min | $63.20 | 2026-01-01 | Official source |
| 24 | WashingtonSpeech-language pathologist | $14.91 | 15 min | $59.64 | 2026-07-01 | Official source |
| 25 | South CarolinaAny qualified provider (rate does not vary by provider) | $14.29 | 15 min | $57.16 | 2021-01-01 | Official source |
| 26 | KansasAny qualified provider (rate does not vary by provider) | $13.22 | 15 min | $52.88 | 2024-08-01 | Official source |
| 27 | New JerseyAny qualified provider (rate does not vary by provider) | $11.20 | 15 min | $44.80 | 2026-07-01 | Official source |
| 28 | LouisianaAny qualified provider (rate does not vary by provider) | $6.75 | 15 min | $27.00 | 2022-05-01 | Official source |
| 29 | IndianaAny qualified provider (rate does not vary by provider) | $20.80 | unit | — | 2026-01-01 | Official source |
| 30 | KentuckyAny qualified provider (rate does not vary by provider) | $13.06 | Add'l 15 min | — | 2026-01-01 | Official source |
Frequently asked questions
Which state pays the most for cognitive rehabilitation therapy?
Nebraska: $29.43 per 15 min ($117.72 per hour).
What is the average Medicaid rate for cognitive rehabilitation therapy?
Across 30 states the median is $73.16 per hour, comparing the same provider level in each state.
Other Therapy (PT/OT/speech) services
Speech-language therapy40 statesPhysical therapy40 statesOccupational therapy40 statesOccupational therapy evaluation39 statesPhysical therapy evaluation39 statesSwallowing and feeding evaluation39 statesSpeech-language evaluation38 statesNutrition counseling (dietitian)37 statesSwallowing and feeding therapy37 states
Cognitive rehabilitation therapy in your statesRates, plan rules, labor costs and changes, with alerts.