T1003 Medicaid reimbursement rates by state
Lpn/lvn services, up to 15 minutes. 30 state Medicaid programs publish a fee-for-service rate for T1003 at the lpn level. Rates run from $1.06 in Florida to $3,510.00 in New Jersey, with a median of $14.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 30
- Median rate
- $14.00units vary by state
- Highest
- $3,510.00New Jersey
- Medicare (non-facility)
- —not on the physician fee schedule
T1003 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 |
|---|---|---|---|---|---|---|
| New JerseyLicensed practical / vocational nurse (LPN / LVN) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $3,510.00⚠ over 3× mediansince 2025-12-01 | 15 min | $14,040.00 | Plans must pay at least this | — | NJMMIS Procedure Master Listing CPTHCPCS |
| IllinoisLicensed practical / vocational nurse (LPN / LVN) · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329) | $44.25since 2026-07-01 | hour | $44.25 | Plans must pay at least this | — | HSP Rates and Fees (Medicaid Waiver Serv |
| AlabamaLicensed practical / vocational nurse (LPN / LVN) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $31.51since 2025-07-01 | 15 min | $126.04 | Not classified | — | Rehab Option MI Fee Schedule |
| OhioLicensed practical / vocational nurse (LPN / LVN) · Ohio Medicaid (fee-for-service) | $25.41since 2024-01-01 | 15 min | $101.64 | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| GeorgiaLicensed practical / vocational nurse (LPN / LVN) · Georgia New Options Waiver (NOW) for people with IDD | $24.36since 2025-04-01 | 15 min | $97.44 | Paid by the state, outside plans | — | New Options Waiver Program-Q2-April 2025 |
| ConnecticutLicensed practical / vocational nurse (LPN / LVN) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $24.08since 2021-07-01 | 15 min | $96.32 | Not classified | — | CMAP fee schedule: Home Health Services |
| VirginiaLicensed practical / vocational nurse (LPN / LVN) · Virginia Medicaid (fee-for-service, DMAS) | $23.89since 2026-07-01 | 15 min | $95.56 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| MassachusettsLicensed practical / vocational nurse (LPN / LVN) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $22.74since 2024-08-01 | 15 min | $90.96 | Paid by the state, outside plans | — | Rates for Continuous Skilled Nursing Age |
| WisconsinLicensed practical / vocational nurse (LPN / LVN) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $20.48since 2004-01-01 | 15 min | $81.92 | Paid by the state, outside plans | — | ForwardHealth max fee schedule: School B |
| IowaLicensed practical / vocational nurse (LPN / LVN) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $18.90since 2012-06-11 | 15 min | $75.60 | Paid by the state, outside plans | — | Iowa Medicaid fee schedule #40 AREA EDUC |
| NevadaLicensed practical / vocational nurse (LPN / LVN) · Nevada HCBS Waiver for Individuals with Intellectual and Developmental Disabilities (provider type 38, fee-for-service) | $17.00since 2023-07-01 | 15 min | $68.00 | Paid by the state, outside plans | — | Provider Type 38, Waiver for Individuals |
| ArizonaLicensed practical / vocational nurse (LPN / LVN) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $15.27since 2021-02-01 | 15 min | $61.08 | Suggested schedule for plans | — | AHCCCS MCO Behavioral Health Outpatient |
| OregonLicensed practical / vocational nurse (LPN / LVN) · Oregon Health Plan (fee-for-service, OHA) | $14.72since 2023-07-01 | 15 min | $58.88 | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| MontanaLicensed practical / vocational nurse (LPN / LVN) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $14.54since 2025-07-01 | 15 min | $58.16 | Not classified | — | Montana Healthcare Programs Fee Schedule |
| IdahoLicensed practical / vocational nurse (LPN / LVN) · Idaho Aged and Disabled 1915(c) Waiver (ID.1076) | $14.04since 2026-07-01 | 15 min | $56.16 | Not classified | — | Aged and Disabled Waiver Services |
| WashingtonLicensed practical / vocational nurse (LPN / LVN) · Washington ALTSA nursing services (nurse delegation, private duty nursing for adults) | $13.95since 2025-01-01 | 1/4 HR | — | Paid by the state, outside plans | — | DSHS ORM Home & Community Based Rates Hi |
| MarylandLicensed practical / vocational nurse (LPN / LVN) · Maryland Medicaid (fee-for-service, MDH) | $12.88since 2024-07-01 | 15 min | $51.53 | Not classified | — | PT 07-25 Fiscal Year 2025 Rates for Nurs |
| MissouriLicensed practical / vocational nurse (LPN / LVN) · Missouri DD Partnership for Hope Waiver (DMH Division of DD, 1915(c)) | $12.82since 2022-07-01 | each 15 min. | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Partnership f |
| PennsylvaniaLicensed practical / vocational nurse (LPN / LVN) · Pennsylvania OBRA Waiver (adults with developmental physical disabilities) | $11.02since 2026-07-01 | 15 min | $44.08 | Not classified | — | OLTL Home and Community Based Waiver Ser |
| MinnesotaLicensed practical / vocational nurse (LPN / LVN) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $10.18since 2026-01-01 | 15 min | $40.72 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| KansasLicensed practical / vocational nurse (LPN / LVN) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $10.00since 2002-09-01 | 15 min | $40.00 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| LouisianaLicensed practical / vocational nurse (LPN / LVN) · Louisiana New Opportunities Waiver (NOW, OCDD/OIDD 1915(c) waiver for people with intellectual/developmental disabilities) | $8.04since 2026-10-01 | 15 min | $32.16 | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| TexasLicensed practical / vocational nurse (LPN / LVN) · Texas Medicaid (fee-for-service, TMHP) | $7.69since 2014-01-01 | 15 min | $30.76 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Tuber |
| New MexicoLicensed practical / vocational nurse (LPN / LVN) · New Mexico Medicaid School-Based Services (MSBS) | $7.37since 2022-07-01 | 15 min | $29.48 | Not classified | — | Medicaid School-Based Services Reimburse |
| West VirginiaLicensed practical / vocational nurse (LPN / LVN) · West Virginia Intellectual/Developmental Disabilities 1915(c) Waiver (IDDW) | $6.82since 2025-10-01 | 15 min | $27.28 | Paid by the state, outside plans | — | BMS memo 'Rate Increases' (HCBS & PC Rat |
| CaliforniaLicensed practical / vocational nurse (LPN / LVN) · California Medi-Cal school-based services (Local Educational Agency) | $6.18since 2026-10-01 | 15 min | $24.72 | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
| NebraskaLicensed practical / vocational nurse (LPN / LVN) · Nebraska Medicaid (fee-for-service) | $4.19since 2026-07-01 | unit | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| North CarolinaLicensed practical / vocational nurse (LPN / LVN) · North Carolina Medicaid Direct (fee-for-service) | $3.48since 2022-04-01 | 15 min | $13.92 | Paid by the state, outside plans | — | NC Medicaid fee schedule 'Local Educatio |
| ArkansasLicensed practical / vocational nurse (LPN / LVN) · Arkansas Medicaid (fee-for-service) | $3.17since 2024-12-04 | 15 min | $12.68 | Not classified | — | Arkansas Medicaid Adult Developmental Da |
| FloridaLicensed practical / vocational nurse (LPN / LVN) · Florida Medicaid (fee-for-service) | $1.06since 2026-01-01 | 15 min | $4.24 | Paid by the state, outside plans | — | Medicaid Certified School Match Program |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 T1003?
It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $14.00. New Jersey pays the most ($3,510.00 per 15 min) and Florida the least ($1.06 per 15 min).
Which state pays the highest Medicaid rate for T1003?
New Jersey, at $3,510.00 per 15 min ($14,040.00 per hour), effective 2025-12-01.
Do managed-care plans pay the same rate for T1003?
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 Private duty nursing codes
T1002Rn services, up to 15 minutes · 33 statesT1000Private duty / independent nursing service(s) - licensed · 18 statesT1004Services of a qualified nursing aide, up to 15 minutes · 16 statesG2252Waiver nursing (RN or LPN, by the 15 minutes) · 14 statesG2251Waiver nursing (RN or LPN, by the 15 minutes) · 13 statesG2250Waiver nursing (RN or LPN, by the 15 minutes) · 11 statesS5108Home care training to home care client, per 15 minutes · 6 statesS5110Home care training, family; per 15 minutes · 6 statesG2215Waiver nursing (RN or LPN, by the 15 minutes) · 5 states
Track T1003 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.