T1026 Medicaid reimbursement rates by state
Intensive, extended multidisciplinary services provided in a.... 13 state Medicaid programs publish a fee-for-service rate for T1026 at the physician psychologist level. Rates run from $8.36 in Virginia to $315.24 in Colorado, with a median of $52.30.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 13
- Median rate
- $52.30per hour
- Highest
- $315.24Colorado
- Medicare (non-facility)
- —not on the physician fee schedule
T1026 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 |
|---|---|---|---|---|---|---|
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $315.24⚠ over 3× mediansince 2026-07-01 | hour | $315.24 | Not classified | — | Health First Colorado Physician Fee Sche |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $299.43⚠ over 3× mediansince 2026-01-01 | hour | $299.43 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $183.00⚠ over 3× mediansince 2015-10-01 | hour | $183.00 | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| New MexicoPhysician or licensed psychologist (incl. BCBA-D) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $142.84since 2025-01-01 | hour | $142.84 | Plans must pay at least this | — | Updated: Applied Behavior Analysis (ABA) |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $92.25since 2025-11-01 | hour | $92.25 | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $52.73since 2025-05-01 | hour | $52.73 | Not classified | — | DOM Comprehensive Fee Schedule, June 202 |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $52.30since 2022-07-01 | hour | $52.30 | Paid by the state, outside plans | — | Louisiana Medicaid Pediatric Day Health |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $47.76since 2026-07-01 | hour | $47.76 | Paid by the state, outside plans | — | Prescribed Pediatric Extended Care Servi |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal for children under 21 (EPSDT, fee-for-service) | $44.12since 2026-10-01 | hour | $44.12 | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| TexasAny qualified provider (rate does not vary by provider) · Texas Prescribed Pediatric Extended Care Centers (medical day care for children) | $40.09since 2026-09-01 | hour | $40.09 | Not classified | — | HHSC PFD Prescribed Pediatric Extended C |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $39.23since 2018-09-01 | hour | $39.23 | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: HlthCk O |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $23.95since 2024-07-01 | hour | $23.95 | Plans must pay at least this | — | Iowa Medicaid fee schedule #61 OTHER PRA |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $8.36since 2024-01-01 | hour | $8.36 | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
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 T1026?
It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $52.30 per hour. Colorado pays the most ($315.24 per hour) and Virginia the least ($8.36 per hour).
Which state pays the highest Medicaid rate for T1026?
Colorado, at $315.24 per hour ($315.24 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for T1026?
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.