H2025 Medicaid reimbursement rates by state
Ongoing support to maintain employment, per 15 minutes. 17 state Medicaid programs publish a fee-for-service rate for H2025 at the agency level. Rates run from $1.38 in Utah to $536.54 in Montana, with a median of $13.91.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 17
- Median rate
- $13.91units vary by state
- Highest
- $536.54Montana
- Medicare (non-facility)
- —not on the physician fee schedule
H2025 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| MontanaAny qualified provider (rate does not vary by provider) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $536.54since 2025-07-01 | month | — | Not classified | — | Montana Healthcare Programs Fee Schedule |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Money Follows the Person (MFP) demonstration (HCBS / Consumer Choices Option budget rates) | $436.80since 2025-08-01 | — | — | Not classified | — | HCBS Consumer Choice Option Rates Effect |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia developmental disability waivers (Building Independence, Family and Individual Supports, Community Living) | $48.87since 2026-07-01 | hour | $48.87 | Paid by the state, outside plans | — | DMAS Developmental Disabilities Waiver S |
| TexasAgency provider · Texas Community Living Assistance and Support Services (CLASS) waiver | $28.06since 2025-09-01 | hour | $28.06 | Paid by the state, outside plans | — | HHSC PFD CLASS payment rates (9-1-2025-c |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Intellectual Disability and Related Disabilities (ID/RD) Waiver (SC.0237, DDSN-operated) | $27.90since 2025-11-01 | 15 min | $111.60 | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| OhioAgency provider · Ohio Specialized Recovery Services (1915(i) for adults with serious mental illness) | $22.02since 2024-01-01 | 15 min | $88.08 | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $17.42since 2025-10-01 | 15 min | $69.68 | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $14.82since 2026-09-01 | 15 min | $59.28 | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania ODP intellectual disability/autism waivers (Consolidated, Community Living, Person/Family Directed Support) and base-funded services | $13.91since 2024-07-01 | 15-minute unit | — | Not classified | — | 54 Pa.B. 5541: Fee Schedule Rates and De |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island developmental disabilities services (BHDDH, paid fee-for-service under the 1115 waiver) | $13.68since 2026-10-01 | 15 min | $54.72 | Paid by the state, outside plans | — | RI Medicaid Interactive Fee For Service |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky 1915(i) Recovery, Independence, Support & Engagement (RISE) Initiative | $10.73since 2025-07-01 | 15 min | $42.92 | Not classified | — | DMS 1915(i) RISE Initiative Fee Schedule |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $9.33since 2026-10-01 | 15 min | $37.32 | Suggested schedule for plans | — | AHCCCS MCO Fee Schedule Final MCO Behavi |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $7.88since 2022-07-01 | 15 min | $31.52 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Intellectual Disabilities/Developmental Disabilities (ID/DD) 1915(c) waiver | $6.78since 2026-01-01 | 15 min | $27.12 | Paid by the state, outside plans | — | MS DOM ID/DD Waiver fee schedule (Intell |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma ODMHSAS state-funded behavioral health services (non-Medicaid 'State Rate') | $4.22since 2015-03-01 | 15 min | $16.88 | Not classified | — | ODMHSAS PICIS 'Rates and Codes for Agenc |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana New Opportunities Waiver (NOW, OCDD/OIDD 1915(c) waiver for people with intellectual/developmental disabilities) | $2.76since 2025-11-18 | 15 min | $11.04 | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $1.38since 2016-07-01 | 15 min | $5.52 | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for H2025?
It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $13.91. Montana pays the most ($536.54 per month) and Utah the least ($1.38 per 15 min).
Which state pays the highest Medicaid rate for H2025?
Montana, at $536.54 per month, effective 2025-07-01.
Do managed-care plans pay the same rate for H2025?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.
Related IDD services codes
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Track H2025 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.