S5150 Medicaid Rate by State

Unskilled respite care, not hospice; per 15 minutes

14 state Medicaid programs publish a fee-for-service rate for S5150 (unskilled respite care, not hospice; per 15 minutes), ranging from $1.00 in Indiana to $302.16 in South Dakota.

Every state, kept current

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This page shows one representative rate per state for S5150. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

14

Median % of Medicare

--

Rate range

$1.00 - $302.16

S5150 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$5.12----2026
Arizona$10.56----2026
Delaware$1.00----2026
Indiana$1.00*--Required2026
Louisiana$3.90----2026
Missouri$9.75--Varies2024
Mississippi$6.24*----2026
North Dakota$8.09--Not required2026
Nevada$6.25----2024
South Dakota$302.16----2026
Tennessee$6.59----2025
Utah$4.78*--Not required2021
Virginia$17.97----2025
Vermont$8.32----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 state-specific services codes

All 8 codes from S5100 to S5170 or every state-specific services code by number.

Frequently asked questions

How much does Medicaid pay for S5150?

14 state Medicaid programs publish a fee-for-service rate for S5150 (unskilled respite care, not hospice; per 15 minutes), ranging from $1.00 in Indiana to $302.16 in South Dakota. The full table on this page lists every publishing state's current rate.

Which state pays the most for S5150?

South Dakota publishes the highest Medicaid rate for S5150 at $302.16. Indiana publishes the lowest at $1.00.

Does S5150 require prior authorization under Medicaid?

1 of the 14 publishing states flag S5150 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".