T1031 Medicaid reimbursement rates by state
Nursing care, in the home, by licensed practical nurse. 7 state Medicaid programs publish a fee-for-service rate for T1031 at the lpn level. Rates run from $8.89 in Maryland to $105.07 in Minnesota, with a median of $34.98.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $34.98units vary by state
- Highest
- $105.07Minnesota
- Medicare (non-facility)
- —not on the physician fee schedule
T1031 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 |
|---|---|---|---|---|---|---|
| MinnesotaLicensed practical / vocational nurse (LPN / LVN) · Minnesota Alternative Care (AC, state-funded program for people 65+) | $105.07since 2026-01-01 | visit | — | Not classified | — | Long-Term Services and Supports Service |
| GeorgiaLicensed practical / vocational nurse (LPN / LVN) · Georgia Elderly and Disabled Waiver (CCSP and SOURCE) | $63.41since 2024-07-01 | visit | — | Paid by the state, outside plans | — | Part II Policies and Procedures: EDWP - |
| LouisianaLicensed practical / vocational nurse (LPN / LVN) · Louisiana Community Choices Waiver (OAAS 1915(c) waiver for older adults and adults with disabilities) | $58.00since 2026-10-01 | visit | — | Paid by the state, outside plans | — | Community Choices Waiver services proced |
| WashingtonLicensed practical / vocational nurse (LPN / LVN) · Washington Apple Health (Medicaid) fee-for-service | $34.98since 2025-01-01 | day | — | Plans must pay at least this | — | HCA Home health fee schedule (home-healt |
| VirginiaLicensed practical / vocational nurse (LPN / LVN) · Virginia Medicaid (fee-for-service, DMAS) | $33.48since 2025-07-01 | day | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| FloridaLicensed practical / vocational nurse (LPN / LVN) · Florida Medicaid (fee-for-service) | $27.06since 2026-01-01 | visit | — | Plans negotiate; applies out of network | — | Home Health Visit Services Fee Schedule |
| MarylandLicensed practical / vocational nurse (LPN / LVN) · Maryland Medicaid (fee-for-service, MDH) | $8.89since 2024-07-01 | 15 min | $35.54 | 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 T1031?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $34.98. Minnesota pays the most ($105.07 per visit) and Maryland the least ($8.89 per 15 min).
Which state pays the highest Medicaid rate for T1031?
Minnesota, at $105.07 per visit, effective 2026-01-01.
Do managed-care plans pay the same rate for T1031?
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.