T1019 Medicaid reimbursement rate by state (2026)
Personal care services, per 15 minutes. Medicaid pays a median of $7.07 for T1019 across 42 states, from $2.10 in Connecticut to $25.00 in Illinois.
- States publishing
- 42
- National median
- $7.07units vary by state
- Lowest
- $2.10Connecticut
- Highest
- $25.00Illinois
- Median per hour
- $28.6039 time-based states
What does Medicaid pay for T1019?
42 state Medicaid programs publish a fee-for-service rate for T1019. The national median is $7.07 (units differ between states). Illinois pays the most, $25.00 per 1/4 hr, and Connecticut the least, $2.10 per 15 min, a 11.9x spread. Converted to an hour of service in the 39 states that bill it by time, the median is $28.60 per hour.
T1019 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for T1019?
It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $7.07. Illinois pays the most ($25.00 per 1/4 hr) and Connecticut the least ($2.10 per 15 min).
Which state pays the highest Medicaid rate for T1019?
Illinois, at $25.00 per 1/4 hr, effective 2022-07-01.
Do managed-care plans pay the same rate for T1019?
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 workspace shows the rule for each state, cited to the contract or statute.