T2013 Medicaid reimbursement rates by state
Habilitation, educational, waiver; per hour. 6 state Medicaid programs publish a fee-for-service rate for T2013 at the agency level. Rates run from $7.40 in New Jersey to $134.01 in Minnesota, with a median of $23.47.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $23.47units vary by state
- Highest
- $134.01Minnesota
- Medicare (non-facility)
- —not on the physician fee schedule
T2013 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 Health Care Programs: Medical Assistance (fee-for-service) | $134.01⚠ over 3× mediansince 2015-07-01 | hour | $134.01 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $48.57since 2026-07-01 | hour | $48.57 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| WisconsinAgency provider · Wisconsin Children's Long-Term Support (CLTS) Waiver (fee-for-service, statewide uniform rate schedule) | $24.94since 2025-01-01 | hour | $24.94 | Paid by the state, outside plans | — | CLTS Waiver Statewide Uniform Rate Sched |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $22.00since 2026-10-01 | hour | $22.00 | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with a brain injury (BI) | $13.08since 2024-07-01 | 15 min | $52.32 | Paid by the state, outside plans | — | EBD, CMHS, BI, CIH (effective July 1, 20 |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $7.40since 2025-01-01 | hour | $7.40 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
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 T2013?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $23.47. Minnesota pays the most ($134.01 per hour) and New Jersey the least ($7.40 per hour).
Which state pays the highest Medicaid rate for T2013?
Minnesota, at $134.01 per hour ($134.01 per hour), effective 2015-07-01.
Do managed-care plans pay the same rate for T2013?
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.