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T1027 Medicaid reimbursement rates by state

Family training and counseling for child development. 8 state Medicaid programs publish a fee-for-service rate for T1027 at the case manager level. Rates run from $6.75 in Florida to $90.00 in Indiana, with a median of $20.42.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
8
Median rate
$20.42units vary by state
Highest
$90.00Indiana
Medicare (non-facility)
—not on the physician fee schedule

T1027 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$90.00since 2020-03-06percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$24.00since 2026-01-0115 min$96.00Paid by the state, outside plans—HCA Maternity support services/infant ca
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$21.64since 2026-01-0115 min$86.56Not classified—NJMMIS Procedure Master Listing CPTHCPCS
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$20.73since 2024-01-0115 min$82.92Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Targeted Rate Increase fee schedule (fee-for-service; plans pay at least this under the TRI directed payment)$20.11since 2026-10-0115 min$80.44State-directed payment—Medi-Cal Rates (Rates files zip: rates_d
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$14.71since 2026-07-0115 min$58.84Plans negotiate; applies out of network—Rates for Early Intervention Program Ser
TexasCase manager / support coordinator · Texas Medicaid (fee-for-service, TMHP)$7.91since 2011-10-0115 min$31.64Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Case
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$6.75since 2026-01-0115 min$27.00Plans negotiate; applies out of network—Early Intervention Services Fee Schedule

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 T1027?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $20.42. Indiana pays the most ($90.00 per percent of billed charges) and Florida the least ($6.75 per 15 min).

Which state pays the highest Medicaid rate for T1027?

Indiana, at $90.00 per percent of billed charges, effective 2020-03-06.

Do managed-care plans pay the same rate for T1027?

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 ABA / autism services codes

Track T1027 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state