Medicaid Nursing Home Rates by State

How each state’s Medicaid program sets what it pays nursing homes, from the state’s own rules, state plan and rate pages. Choose a view, then click a state for the details and sources.

For general information only, not legal or reimbursement advice. State rules change often and some shown here may have changed or be under review; confirm with the state before relying on them.

Sources: each state’s Medicaid nursing facility rules and statutes, its Medicaid state plan (Attachment 4.19-D) and its Medicaid agency’s rate pages, listed under each state with the date researched. Posted rates are not always what a home is paid: case mix, add-ons, supplemental payments and managed care contracts change the amount. BARA Analytics is independent and is not affiliated with any state Medicaid agency or CMS.

Medicaid managed care and commercial rates are not set by the state. For what commercial insurers publish about nursing-home rates, and what stays private, see SNF payer rates from Transparency in Coverage data.