T1999 Medicaid reimbursement rates by state
Miscellaneous therapeutic items and supplies. 14 state Medicaid programs publish a fee-for-service rate for T1999 at the agency level. Rates run from $0.06 in Alaska to $5,000.00 in Minnesota, with a median of $28.24.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 14
- Median rate
- $28.24units vary by state
- Highest
- $5,000.00Minnesota
- Medicare (non-facility)
- —not on the physician fee schedule
T1999 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 |
|---|---|---|---|---|---|---|
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Brain Injury (BI) waiver | $5,000.00since 2026-01-01 | Decremental | — | Paid by the state, outside plans | — | Long-Term Services and Supports Service |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Supports for Community Living (SCL) 1915(c) waiver | $2,178.00since 2025-01-01 | Per Plan of Care Year | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Autism 1915(c) waiver | $1,000.00⚠ over 3× mediansince 2024-10-15 | — | — | Paid by the state, outside plans | — | Arkansas Medicaid Autism Waiver Fee Sche |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $438.00⚠ over 3× mediansince 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| UtahAgency provider · Utah Medicaid (fee-for-service, Traditional plan) | $191.11⚠ over 3× mediansince 2022-01-01 | — | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $51.50since 2023-07-01 | — | — | Paid by the state, outside plans | — | 2026 Fee Schedule - Covered Procedures R |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $31.47since 2024-03-04 | — | — | Plans negotiate; applies out of network | — | Medicaid Fee-For-Service (FFS) Fee Sched |
| IowaAgency provider · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $25.00since 2012-06-11 | — | — | Paid by the state, outside plans | — | Iowa Medicaid fee schedule #56 LOCAL EDU |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $11.51since 2021-08-30 | Per test | — | Plans negotiate; applies out of network | — | 52 Pa.B. 1430 Medical Assistance Program |
| District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service | $8.02since 2003-10-01 | — | — | Not classified | — | REFRP00178CSV - Medical Fee Schedule Rep |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $4.50since 2008-07-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Supplies |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $3.00since 2021-07-01 | month | — | Plans negotiate; applies out of network | — | HCA Pharmacy special services fee schedu |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island developmental disabilities services (BHDDH, paid fee-for-service under the 1115 waiver) | $1.00since 2023-07-01 | — | — | Paid by the state, outside plans | — | RI Medicaid Interactive Fee For Service |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health) | $0.06since 2025-10-01 | — | — | Not classified | — | Alaska Medicaid DMEPOS Interim Fee Sched |
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 T1999?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $28.24. Minnesota pays the most ($5,000.00 per Decremental) and Alaska the least ($0.06).
Which state pays the highest Medicaid rate for T1999?
Minnesota, at $5,000.00 per Decremental, effective 2026-01-01.
Do managed-care plans pay the same rate for T1999?
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.