T2016 Medicaid reimbursement rates by state
Habilitation, residential, waiver; per diem. 12 state Medicaid programs publish a fee-for-service rate for T2016 at the agency level. Rates run from $3.50 in Alabama to $999.00 in Minnesota, with a median of $272.97.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 12
- Median rate
- $272.97per day
- Highest
- $999.00Minnesota
- Medicare (non-facility)
- —not on the physician fee schedule
T2016 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) | $999.00⚠ over 3× mediansince 2015-07-01 | day | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| FloridaAny qualified provider (rate does not vary by provider) · Florida iBudget waiver for people with developmental disabilities (APD) | $408.51since 2026-07-01 | day | — | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Developmental Disabilities 1915(c) Waiver (NM.0173) | $370.12since 2026-07-01 | day | — | Paid by the state, outside plans | — | Developmental Disabilities Waiver Fee Sc |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Supports for Community Living (SCL) 1915(c) waiver | $284.57since 2025-01-01 | day | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Community Integration and Habilitation (CIH) Waiver for people with IDD | $280.27since 2023-07-01 | day | — | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Intellectual Disability and Related Disabilities (ID/RD) Waiver (SC.0237, DDSN-operated) | $278.77since 2025-11-01 | day | — | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Comprehensive Waiver (DMH Division of DD, 1915(c)) | $267.17since 2024-07-01 | day | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Comprehensive |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado post-eligibility treatment of income amounts (residential room and board, personal needs allowance) | $239.09since 2026-07-01 | day | — | Paid by the state, outside plans | — | DD PETI - Denver (8/26) |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada HCBS Waiver for Individuals with Intellectual and Developmental Disabilities (provider type 38, fee-for-service) | $162.95since 2024-04-01 | day | — | Paid by the state, outside plans | — | Provider Type 38, Waiver for Individuals |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Intellectual Disabilities/Developmental Disabilities (ID/DD) 1915(c) waiver | $138.18since 2023-07-01 | day | — | Paid by the state, outside plans | — | MS DOM ID/DD Waiver fee schedule (Intell |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Residential Options Waiver (ROW, OCDD/OIDD 1915(c) waiver) | $84.91since 2026-10-01 | day | — | Paid by the state, outside plans | — | Residential Options Waiver rate and proc |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Intellectual Disabilities (ID) 1915(c) waiver (AL.0001; ADMH-DDD operated) | $3.50since 2025-10-01 | day | — | Not classified | — | ID Waiver renewal AL.0001.R10.00 (effect |
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 T2016?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $272.97 per day. Minnesota pays the most ($999.00 per day) and Alabama the least ($3.50 per day).
Which state pays the highest Medicaid rate for T2016?
Minnesota, at $999.00 per day, effective 2015-07-01.
Do managed-care plans pay the same rate for T2016?
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.