T1017 Medicaid reimbursement rates by state
Targeted case management, each 15 minutes. 32 state Medicaid programs publish a fee-for-service rate for T1017 at the physician psychologist level. Rates run from $7.50 in Arkansas to $367.31 in Virginia, with a median of $18.75.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 32
- Median rate
- $18.75units vary by state
- Highest
- $367.31Virginia
- Medicare (non-facility)
- —not on the physician fee schedule
T1017 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 |
|---|---|---|---|---|---|---|
| VirginiaCase manager / support coordinator · Virginia Medicaid (fee-for-service, DMAS) | $367.31⚠ over 3× mediansince 2021-07-01 | 15 min | $1,469.24 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| IdahoCase manager / support coordinator · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $240.12⚠ over 3× mediansince 2020-07-01 | 15 min | $960.48 | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $208.87⚠ over 3× mediansince 2026-07-01 | 15 min | $835.48 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| MichiganCase manager / support coordinator · Michigan Flint water system targeted case management | $201.58⚠ over 3× median | 15 min | $806.32 | Not classified | — | MDHHS Targeted Case Management for Benef |
| New HampshireCase manager / support coordinator · New Hampshire Choices for Independence (CFI) 1915(c) waiver | $52.73since 2024-01-01 | day | — | Paid by the state, outside plans | — | 2024 Fee Schedule - HCBC CFI Covered Pro |
| MarylandCase manager / support coordinator · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $46.17since 2024-07-01 | 15 min | $184.68 | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – PRP and Speci |
| New JerseyCase manager / support coordinator · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $31.50since 2025-01-01 | 15 min | $126.00 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid Reentry Program (section 1115, non-risk via QI plans) | $28.00since 2026-10-01 | 15 min | $112.00 | Not classified | — | Med-QUEST memo QI-2619 Appendix E |
| 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 | $27.21since 2024-07-01 | 15-minute unit | — | Not classified | — | 54 Pa.B. 5541: Fee Schedule Rates and De |
| TexasCase manager / support coordinator · Texas Medicaid (fee-for-service, TMHP) | $26.39since 2011-10-01 | 15 min | $105.56 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Case |
| ArizonaCase manager / support coordinator · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $26.10since 2026-10-01 | 15 min | $104.40 | Plans negotiate; applies out of network | — | AHCCCS FFS Fee Schedule Final FFS Behavi |
| MaineCase manager / support coordinator · MaineCare (fee-for-service) | $25.92since 2026-01-01 | 15 min | $103.68 | Not classified | — | MaineCare Section 13 Targeted Case Manag |
| ConnecticutCase manager / support coordinator · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $25.86since 2024-07-01 | 15 min | $103.44 | Not classified | — | CMAP fee schedule: Clinic and Outpatient |
| Rhode IslandCase manager / support coordinator · Rhode Island Medicaid (fee-for-service) | $23.90since 2026-10-01 | 15 min | $95.60 | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $20.00since 2020-01-01 | 15 min | $80.00 | Paid by the state, outside plans | — | HCA Maternity support services/infant ca |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Intellectual Disability and Related Disabilities (ID/RD) Waiver (SC.0237, DDSN-operated) | $18.90since 2025-11-01 | 15 min | $75.60 | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| MissouriBachelor's-level staff · Missouri MO HealthNet (fee-for-service) | $18.59since 2022-07-01 | 15 min | $74.36 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Behavioral He |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $17.49since 2026-07-01 | 15 min | $69.96 | Not classified | — | Health First Colorado Physician Fee Sche |
| North CarolinaCase manager / support coordinator · North Carolina Medicaid Direct (fee-for-service) | $17.14since 2025-10-01 | 15 min | $68.56 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'ARCM' - ARCM ( |
| MinnesotaAny qualified provider (rate does not vary by provider) · Moving Home Minnesota (Money Follows the Person transition demonstration) | $16.63since 2026-01-01 | 15 min | $66.52 | Not classified | — | Long-Term Services and Supports Service |
| VermontCase manager / support coordinator · Vermont Developmental Disabilities Services fee-for-service (State Plan) lines paid by DDSD | $15.34since 2024-07-01 | 15 min. | — | Not classified | — | DDSD Medicaid Claim Codes & Reimbursemen |
| MississippiCase manager / support coordinator · Mississippi Medicaid (fee-for-service) | $15.12since 2003-10-01 | 15 min | $60.48 | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, June 202 |
| IowaCase manager / support coordinator · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $15.00since 2016-01-01 | 15 min | $60.00 | Paid by the state, outside plans | — | Iowa Medicaid fee schedule #57 INFANT TO |
| FloridaCase manager / support coordinator · Florida Medicaid (fee-for-service) | $14.82since 2026-01-01 | unit | — | Plans negotiate; applies out of network | — | Targeted Case Management for Children at |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $14.67since 2024-01-01 | 15 min | $58.68 | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid School-Based Health Services (SBHS) | $14.35since 2025-04-01 | 15 min | $57.40 | Paid by the state, outside plans | — | School Based Health Services (SBHS) - Di |
| WisconsinCase manager / support coordinator · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $11.98since 2023-02-01 | 15 min | $47.92 | Paid by the state, outside plans | — | ForwardHealth interactive max fee schedu |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $10.83since 2007-07-01 | 15 min | $43.32 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| OhioCase manager / support coordinator · Ohio Medicaid School Program (school-based services) | $10.56since 2020-06-12 | 15 min | $42.24 | Paid by the state, outside plans | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid School-Based Services (MSBS) | $9.25since 2022-07-01 | 15 min | $37.00 | Not classified | — | Medicaid School-Based Services Reimburse |
| UtahLicensed practical / vocational nurse (LPN / LVN) · Utah Medicaid (fee-for-service, Traditional plan) | $8.28since 2022-01-01 | 15 min | $33.12 | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $7.50since 2016-04-27 | 15 min | $30.00 | Not classified | — | Arkansas Medicaid Targeted Case Manageme |
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 T1017?
It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $18.75. Virginia pays the most ($367.31 per 15 min) and Arkansas the least ($7.50 per 15 min).
Which state pays the highest Medicaid rate for T1017?
Virginia, at $367.31 per 15 min ($1,469.24 per hour), effective 2021-07-01.
Do managed-care plans pay the same rate for T1017?
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.
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Track T1017 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.