T2019 Medicaid reimbursement rates by state
Habilitation, supported employment, waiver; per 15 minutes. 19 state Medicaid programs publish a fee-for-service rate for T2019 at the self directed level. Rates run from $4.77 in Louisiana to $315.00 in Wisconsin, with a median of $10.84.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 19
- Median rate
- $10.84units vary by state
- Highest
- $315.00Wisconsin
- Medicare (non-facility)
- —not on the physician fee schedule
T2019 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 |
|---|---|---|---|---|---|---|
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Children's Long-Term Support (CLTS) Waiver (fee-for-service, statewide uniform rate schedule) | $315.00since 2025-01-01 | month | — | Paid by the state, outside plans | — | CLTS Waiver Statewide Uniform Rate Sched |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329) | $45.50since 2026-07-01 | hour | $45.50 | Plans must pay at least this | — | HSP Rates and Fees (Medicaid Waiver Serv |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $39.72since 2025-07-01 | Staff Hour | — | Not classified | — | Montana Healthcare Programs Fee Schedule |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Comprehensive Waiver (DMH Division of DD, 1915(c)) | $19.45since 2022-07-01 | each 15 min. | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Comprehensive |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut DDS HCBS waivers - self-directed (self-hire) rates | $15.69since 2024-07-01 | 15 min | $62.76 | Not classified | — | DDS FY25 Vendor Self Hire Rates (Self-Hi |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare Home and Community Based Services for Adults with Brain Injury (MBM Section 18 waiver, fee-for-service) | $15.53since 2026-01-01 | 15 min | $62.12 | Not classified | — | MaineCare Section 18 Brain Injury Waiver |
| 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) | $14.21since 2024-04-01 | 15 min | $56.84 | Paid by the state, outside plans | — | Provider Type 38, Waiver for Individuals |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Supports for Community Living (SCL) 1915(c) waiver | $13.65since 2025-01-01 | 15 min | $54.60 | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $12.11since 2008-07-01 | 15 min | $48.44 | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| NebraskaAgency provider · Nebraska Medicaid (fee-for-service) | $10.84since 2026-07-01 | 15 min | $43.36 | Paid by the state, outside plans | — | NE Medicaid Specialized Add-On Services |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Community Waiver Program (1115 demonstration with 1915(c)/1915(i) services; ADMH-DDD) | $9.00since 2020-12-17 | 15 min | — | Not classified | — | ADMH Community Waiver Program Rate Sheet |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma Developmental Disabilities Services 1915(c) waivers (Community, In-Home Supports adults and children, Homeward Bound) | $8.59since 2024-10-01 | 15 min | $34.36 | Paid by the state, outside plans | — | DDS Administrative Letter 24-02: Rate In |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $7.72since 2026-07-01 | 15 min | $30.88 | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Mi Via self-directed 1915(c) Waiver (NM.0448) | $7.30since 2024-10-01 | 15 min | $29.20 | Paid by the state, outside plans | — | Mi Via Waiver Fee Schedule - October 1, |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey DDD Community Care Program and Supports Program (IDD waiver services, one rate schedule) | $7.23since 2026-01-01 | 15 min | $28.92 | Paid by the state, outside plans | — | Quick Guide - FY26 DSP & Supervisor Rate |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $5.63since 2026-10-01 | 15 min | $22.52 | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia New Options Waiver (NOW) for people with IDD | $5.37since 2025-04-01 | 15 min | $21.48 | Paid by the state, outside plans | — | New Options Waiver Program-Q2-April 2025 |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Children with Serious Emotional Disorder 1915(c) Waiver (CSEDW) | $5.26since 2024-10-01 | 15 min | $21.04 | Plans must pay at least this | — | Children with Serious Emotional Disorder |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Supports Waiver (SW, OCDD/OIDD 1915(c) waiver; employment and day supports) | $4.77since 2026-10-01 | 15 min | $19.08 | Paid by the state, outside plans | — | Supports Waiver rate and procedure code |
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 T2019?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $10.84. Wisconsin pays the most ($315.00 per month) and Louisiana the least ($4.77 per 15 min).
Which state pays the highest Medicaid rate for T2019?
Wisconsin, at $315.00 per month, effective 2025-01-01.
Do managed-care plans pay the same rate for T2019?
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.
Related IDD services codes
T1023Screening to determine the appropriateness of consideration... · 30 statesT2021Day habilitation, waiver; per 15 minutes · 20 statesH0045Respite care services, not in the home, per diem · 19 statesH2023Supported employment, per 15 minutes · 19 statesH0002Behavioral health screening to determine eligibility for... · 18 statesS5100Day care services, adult; per 15 minutes · 17 statesT2023Targeted case management; per month · 17 statesT2015Habilitation, prevocational, waiver; per hour · 15 statesH2025Ongoing support to maintain employment, per 15 minutes · 14 statesT2016Habilitation, residential, waiver; per diem · 14 statesT2033Residential care, not otherwise specified (nos), waiver · 14 statesH0043Supported housing, per diem · 12 states
Track T2019 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.