T1013 Medicaid reimbursement rates by state
Sign language or oral interpretive services, per 15 minutes. 19 state Medicaid programs publish a fee-for-service rate for T1013 at the physician psychologist level. Rates run from $3.57 in Idaho to $67.35 in Oregon, with a median of $13.50.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 19
- Median rate
- $13.50units vary by state
- Highest
- $67.35Oregon
- Medicare (non-facility)
- —not on the physician fee schedule
T1013 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 |
|---|---|---|---|---|---|---|
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $67.35since 2024-07-01 | unit | — | Plans expected to pay at least this | — | OHP FFS behavioral health fee schedule ( |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Drug Medi-Cal in State Plan (non-ODS) counties | $32.87since 2026-07-01 | 15 min | $131.48 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia New Options Waiver (NOW) for people with IDD | $26.76since 2024-04-01 | 15 min | $107.04 | Paid by the state, outside plans | — | New Options Waiver Program 4.1.24 (archi |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $20.00since 2024-01-01 | 15 min | $80.00 | Not classified | — | MaineCare Section 90, Physician Services |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island developmental disabilities services (BHDDH, paid fee-for-service under the 1115 waiver) | $18.51since 2026-10-01 | 15 min | $74.04 | Paid by the state, outside plans | — | RI Medicaid Interactive Fee For Service |
| 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 | $18.24since 2024-07-01 | 15-minute unit | — | Not classified | — | 54 Pa.B. 5541: Fee Schedule Rates and De |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Acquired Brain Injury (ABI I / ABI II) Waivers | $15.99since 2021-07-01 | 15 min | $63.96 | Not classified | — | CMAP fee schedule: Acquired Brain Injury |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $15.00since 2020-01-01 | 15 min | $60.00 | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $14.39since 2013-07-01 | 15 min | $57.56 | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $13.50since 2026-07-01 | 15 min | $54.00 | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule INTERPRET |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $13.45since 2020-09-01 | 15 min | $53.80 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $12.50since 2011-04-01 | 15 min | $50.00 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $12.32since 2023-07-01 | 15 min | $49.28 | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service) | $11.11since 2023-01-01 | 15 min | $44.44 | Plans negotiate; applies out of network | — | eMedNY NYS Medicaid Vision Care Fee Sche |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $9.47since 2025-01-01 | 15 min | $37.88 | Plans negotiate; applies out of network | — | ForwardHealth interactive max fee schedu |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $9.36since 2024-03-04 | 15 min | $37.44 | Plans negotiate; applies out of network | — | Medicaid Fee-For-Service (FFS) Fee Sched |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $9.25since 2006-12-01 | 15 min | $37.00 | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $6.55since 2025-01-01 | 15 min | $26.20 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $3.57since 2025-09-01 | 15 min | $14.28 | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
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 T1013?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $13.50. Oregon pays the most ($67.35 per unit) and Idaho the least ($3.57 per 15 min).
Which state pays the highest Medicaid rate for T1013?
Oregon, at $67.35 per unit, effective 2024-07-01.
Do managed-care plans pay the same rate for T1013?
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 Other home & community services codes
96158Positive behavioral interventions and support · 37 statesT1016Case management, each 15 minutes · 32 statesT1005Respite care services, up to 15 minutes · 32 statesT1017Targeted case management, each 15 minutes · 32 statesT1001Nursing assessment / evaluation · 31 statesS5170Home delivered meals, including preparation; per meal · 29 statesS5150Unskilled respite care, not hospice; per 15 minutes · 27 statesT2025Waiver services; not otherwise specified (nos) · 27 statesG0101Respite care (daily) · 24 statesS5161Emergency response system; service fee, per month · 24 statesG9012Other specified case management service not elsewhere... · 23 statesT2022Case management, per month · 23 states
Track T1013 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.