G0179 Medicaid Rate by State

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care

12 state Medicaid programs publish a fee-for-service rate for G0179 (physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care), ranging from $27.14 in Washington to $58.62 in New Mexico, with a median of 86.7% of the national Medicare amount.

Every state, kept current

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Publishing states

12

Median % of Medicare

86.7%

Rate range

$27.14 - $58.62

G0179 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$43.5898.1%--2025
Idaho$35.9480.9%Not required2026
Louisiana$53.20119.8%--2026
Montana$57.63129.7%--2026
North Dakota$49.19110.7%Not required2026
New Hampshire$34.2977.2%Not required2026
New Mexico$58.62132%--2025
Oklahoma$38.4986.7%--2026
Oregon$35.97*81%--2026
Washington$27.1461.1%--2026
West Virginia$29.7767%--2026
Wyoming$36.7582.7%--2026

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related physician codes

All 136 codes from G0008 to G0659 or every physician code by number.

Frequently asked questions

How much does Medicaid pay for G0179?

12 state Medicaid programs publish a fee-for-service rate for G0179 (physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care), ranging from $27.14 in Washington to $58.62 in New Mexico, with a median of 86.7% of the national Medicare amount. The full table on this page lists every publishing state's current rate.

Which state pays the most for G0179?

New Mexico publishes the highest Medicaid rate for G0179 at $58.62 (132% of the national Medicare amount). Washington publishes the lowest at $27.14.

Does G0179 require prior authorization under Medicaid?

No publishing state flags G0179 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.