The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for S5125. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
19
Median % of Medicare
--
Rate range
$1.00 - $25.44
S5125 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $5.12* | -- | -- | 2026 |
| Arizona | $4.59 | -- | -- | 2026 |
| District of Columbia | $4.08* | -- | Not required | 2006 |
| Indiana | $1.00* | -- | Required | 2026 |
| Kentucky | $25.44 | -- | -- | 2026 |
| Louisiana | $1.50 | -- | -- | 2026 |
| Minnesota | $18.43 | -- | Required | 2015 |
| Missouri | $10.88* | -- | Varies | 2024 |
| Mississippi | $4.14* | -- | -- | 2026 |
| Montana | $9.19 | -- | Required | 2025 |
| New Jersey | $9.75 | -- | Required | 2026 |
| New Mexico | $8.42 | -- | -- | 2024 |
| Nevada | $6.25 | -- | -- | 2024 |
| South Dakota | $11.17 | -- | -- | 2026 |
| Utah | $7.19* | -- | Not required | 2026 |
| Virginia | $1.18 | -- | -- | 2003 |
| Vermont | $12.50 | -- | -- | 2025 |
| Wisconsin | $4.02 | -- | -- | 2009 |
| Wyoming | $8.91 | -- | -- | 2021 |
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.
Frequently asked questions
How much does Medicaid pay for S5125?
19 state Medicaid programs publish a fee-for-service rate for S5125 (attendant care services; per 15 minutes), ranging from $1.00 in Indiana to $25.44 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for S5125?
Kentucky publishes the highest Medicaid rate for S5125 at $25.44. Indiana publishes the lowest at $1.00.
Does S5125 require prior authorization under Medicaid?
4 of the 19 publishing states flag S5125 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".