How Much Does Medicaid Pay for Nursing Home & Facility Care?

Skilled nursing facility visits and evaluation/management services in nursing facilities.

Service Nursing Home & Facility Care Year 2024 Codes 7

Medicaid nursing home & facility care reimbursement rates vary widely by state. In 2024, the average payment per claim ranged from $4.52 in Vermont to $72.61 in Alaska — a 16.1x difference.

52 states reported nursing home & facility care claims to HHS in 2024, covering 7 procedure codes. The data below is based on official Medicaid claims records published by the U.S. Department of Health and Human Services.

Included Procedure Codes

99304 — 1st nf care sf/low mdm 25 99305 — 1st nf care moderate mdm 35 99306 — 1st nf care high mdm 50 99307 — Sbsq nf care sf mdm 10 99308 — Sbsq nf care low mdm 20 99309 — Sbsq nf care moderate mdm 30 99310 — Sbsq nf care high mdm 45

Average Payment by State

State	Value
Alabama	$10.57
Alaska	$72.61
Arizona	$48.60
Arkansas	$23.16
California	$24.82
Colorado	$27.06
Connecticut	$16.32
Delaware	$17.15
District of Columbia	$35.51
Florida	$5.57
Georgia	$14.84
Hawaii	$23.45
Idaho	$40.62
Illinois	$27.74
Indiana	$17.82
Iowa	$13.47
Kansas	$9.48
Kentucky	$29.89
Louisiana	$6.81
Maine	$18.12
Maryland	$24.02
Massachusetts	$16.61
Michigan	$31.00
Minnesota	$66.98
Mississippi	$34.41
Missouri	$26.36
Montana	$31.70
Nebraska	$26.86
Nevada	$36.32
New Hampshire	$5.74
New Jersey	$13.95
New Mexico	$48.38
New York	$11.73
North Carolina	$17.59
North Dakota	$38.48
Ohio	$14.93
Oklahoma	$27.64
Oregon	$34.93
Pennsylvania	$27.97
Puerto Rico	$58.14
Rhode Island	$12.03
South Carolina	$16.85
South Dakota	$23.29
Tennessee	$13.24
Texas	$11.36
Utah	$34.08
Vermont	$4.52
Virginia	$24.75
Washington	$21.78
West Virginia	$16.17
Wisconsin	$25.97
Wyoming	$15.13

State-by-State Reimbursement Rates

State	Avg / Claim	Total Claims	Total Paid	Codes Reporting
Alabama	$10.57	304,862	$3,221,484.22	7
Alaska	$72.61	2,347	$170,411.77	4
Arizona	$48.60	397,231	$19,305,505.50	7
Arkansas	$23.16	99,853	$2,312,325.48	7
California	$24.82	1,535,392	$38,112,956.51	7
Colorado	$27.06	123,959	$3,354,890.40	7
Connecticut	$16.32	312,598	$5,100,068.34	7
Delaware	$17.15	16,635	$285,234.39	6
District of Columbia	$35.51	26,145	$928,360.03	7
Florida	$5.57	2,020,785	$11,249,874.36	7
Georgia	$14.84	35,165	$521,987.76	5
Hawaii	$23.45	18,392	$431,220.25	6
Idaho	$40.62	21,701	$881,420.01	7
Illinois	$27.74	895,509	$24,837,484.48	7
Indiana	$17.82	583,824	$10,401,996.11	7
Iowa	$13.47	55,225	$743,882.66	7
Kansas	$9.48	71,796	$680,462.49	7
Kentucky	$29.89	217,794	$6,508,796.39	7
Louisiana	$6.81	381,705	$2,598,203.03	7
Maine	$18.12	22,147	$401,325.90	7
Maryland	$24.02	944,464	$22,690,126.57	7
Massachusetts	$16.61	499,171	$8,292,368.97	7
Michigan	$31.00	259,378	$8,041,803.05	7
Minnesota	$66.98	85,433	$5,722,192.66	7
Mississippi	$34.41	256,264	$8,817,982.81	7
Missouri	$26.36	376,749	$9,929,513.77	7
Montana	$31.70	3,827	$121,296.94	5
Nebraska	$26.86	37,736	$1,013,551.91	7
Nevada	$36.32	261,116	$9,484,895.59	7
New Hampshire	$5.74	34,243	$196,424.51	7
New Jersey	$13.95	641,688	$8,953,495.23	7
New Mexico	$48.38	59,142	$2,861,536.40	7
New York	$11.73	1,416,555	$16,620,590.30	7
North Carolina	$17.59	405,838	$7,140,400.01	7
North Dakota	$38.48	10,131	$389,794.70	6
Ohio	$14.93	649,051	$9,690,619.34	7
Oklahoma	$27.64	164,958	$4,559,687.59	7
Oregon	$34.93	20,642	$720,948.45	6
Pennsylvania	$27.97	425,422	$11,898,679.05	7
Puerto Rico	$58.14	771	$44,822.35	4
Rhode Island	$12.03	22,284	$268,115.79	7
South Carolina	$16.85	141,009	$2,375,392.97	7
South Dakota	$23.29	11,967	$278,744.08	5
Tennessee	$13.24	446,371	$5,910,495.17	7
Texas	$11.36	809,159	$9,195,017.73	7
Utah	$34.08	91,859	$3,130,531.08	7
Vermont	$4.52	11,542	$52,159.11	6
Virginia	$24.75	391,345	$9,686,001.82	7
Washington	$21.78	202,607	$4,412,413.19	7
West Virginia	$16.17	50,878	$822,690.05	7
Wisconsin	$25.97	66,754	$1,733,798.76	7
Wyoming	$15.13	2,158	$32,657.65	5