T1030 Medicaid reimbursement rates by state
Nursing care, in the home, by registered nurse, per diem. 14 state Medicaid programs publish a fee-for-service rate for T1030 at the rn level. Rates run from $13.71 in Maryland to $264.78 in Utah, with a median of $81.23.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 14
- Median rate
- $81.23units vary by state
- Highest
- $264.78Utah
- Medicare (non-facility)
- —not on the physician fee schedule
T1030 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 |
|---|---|---|---|---|---|---|
| UtahRegistered nurse (RN) · Utah Medicaid (fee-for-service, Traditional plan) | $264.78since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| OhioRegistered nurse (RN) · Ohio Medicaid (fee-for-service) | $246.00since 2025-07-01 | day | — | Plans negotiate; applies out of network | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| New HampshireRegistered nurse (RN) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $129.00since 2024-01-01 | day | — | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
| MinnesotaRegistered nurse (RN) · Minnesota Alternative Care (AC, state-funded program for people 65+) | $105.07since 2026-01-01 | visit | — | Not classified | — | Long-Term Services and Supports Service |
| IowaRegistered nurse (RN) · Iowa HCBS AIDS/HIV 1915(c) waiver | $98.87since 2025-08-01 | visit | — | Not classified | — | HCBS Habilitation and Waiver Upper Rate |
| WashingtonRegistered nurse (RN) · Washington ALTSA home and community services (other HCBS) | $95.55since 2020-01-01 | DL | — | Paid by the state, outside plans | — | DSHS ORM Home & Community Based Rates Hi |
| GeorgiaRegistered nurse (RN) · Georgia Independent Care Waiver Program (adults with physical disabilities or brain injury) | $95.34since 2024-07-01 | day | — | Paid by the state, outside plans | — | Part II Policies and Procedures: Indepen |
| LouisianaRegistered nurse (RN) · Louisiana Community Choices Waiver (OAAS 1915(c) waiver for older adults and adults with disabilities) | $67.12since 2026-10-01 | visit | — | Paid by the state, outside plans | — | Community Choices Waiver services proced |
| VirginiaRegistered nurse (RN) · Virginia Medicaid (fee-for-service, DMAS) | $45.12since 2025-07-01 | day | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| North CarolinaRegistered nurse (RN) · North Carolina Medicaid Direct (fee-for-service) | $41.36since 2025-10-01 | day | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Home Infusion |
| FloridaRegistered nurse (RN) · Florida Medicaid (fee-for-service) | $32.07since 2026-01-01 | visit | — | Plans negotiate; applies out of network | — | Home Health Visit Services Fee Schedule |
| KansasRegistered nurse (RN) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $30.00since 2007-11-01 | day | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| OregonRegistered nurse (RN) · Oregon Health Plan (fee-for-service, OHA) | $17.19since 2008-01-01 | day | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| MarylandRegistered nurse (RN) · Maryland Medicaid (fee-for-service, MDH) | $13.71since 2024-07-01 | 15 min | $54.84 | Not classified | — | PT 07-25 Fiscal Year 2025 Rates for Nurs |
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 T1030?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $81.23. Utah pays the most ($264.78 per day) and Maryland the least ($13.71 per 15 min).
Which state pays the highest Medicaid rate for T1030?
Utah, at $264.78 per day, effective 2026-07-01.
Do managed-care plans pay the same rate for T1030?
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.