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Billing code T2011 · Behavioral health

T2011 Medicaid reimbursement rate by state (2026)

Preadmission screening and resident review. Medicaid pays a median of $268.69 for T2011 across 8 states, from $7.70 in Vermont to $643.76 in Oregon.

Data as of Oct 5, 20268 statesEvery rate links to its official source

States publishing
8
National median
$268.69units vary by state
Lowest
$7.70Vermont
Highest
$643.76Oregon
Answer

What does Medicaid pay for T2011?

8 state Medicaid programs publish a fee-for-service rate for T2011. The national median is $268.69 (units differ between states). Oregon pays the most, $643.76 per unit, and Vermont the least, $7.70, a 83.6x spread.

State ranking

T2011 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Oregon Source · since 2019-10-01$643.76unit—Plans negotiate; applies out of network—
2Indiana Source · since 2026-01-01$476.16unit—Not classified—
3Minnesota Source · since 2012-09-01$400.00——Plans negotiate; applies out of network—
7New Mexico Source · since 2026-07-01$10.2215 min$40.88Paid by the state, outside plans—
8Vermont Source · since 2004-01-01$7.70——Not classified—
See all 8 states for T2011 — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track T2011 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for T2011?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $268.69. Oregon pays the most ($643.76 per unit) and Vermont the least ($7.70).

Which state pays the highest Medicaid rate for T2011?

Oregon, at $643.76 per unit, effective 2019-10-01.

Do managed-care plans pay the same rate for T2011?

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 workspace shows the rule for each state, cited to the contract or statute.