T2021 Medicaid reimbursement rates by state
Day habilitation, waiver; per 15 minutes. 23 state Medicaid programs publish a fee-for-service rate for T2021 at the physician psychologist level. Rates run from $2.35 in Indiana to $174.01 in California, with a median of $6.44.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 23
- Median rate
- $6.44units vary by state
- Highest
- $174.01California
- Medicare (non-facility)
- —not on the physician fee schedule
T2021 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 |
|---|---|---|---|---|---|---|
| CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Drug Medi-Cal in State Plan (non-ODS) counties | $174.01⚠ over 3× mediansince 2026-07-01 | 15 min | $696.04 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $85.23since 2025-07-01 | day | — | Not classified | — | Montana Healthcare Programs Fee Schedule |
| NebraskaAgency provider · Nebraska Medicaid (fee-for-service) | $39.69since 2026-07-01 | hour | $39.69 | Paid by the state, outside plans | — | NE Medicaid Specialized Add-On Services |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $29.55⚠ over 3× mediansince 2026-07-01 | 15 min | $118.20 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $25.00⚠ over 3× mediansince 2013-11-01 | 15 min | $100.00 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $12.14since 2022-07-01 | 15 min | $48.56 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $10.71since 2018-07-01 | 15 min | $42.84 | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| FloridaAny qualified provider (rate does not vary by provider) · Florida iBudget waiver for people with developmental disabilities (APD) | $8.76since 2026-07-01 | 15 min | $35.04 | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey DDD Supports Program (SP) for adults with IDD living with family or independently | $8.50since 2026-01-01 | 15 min | $34.00 | Paid by the state, outside plans | — | Quick Guide - FY26 DSP & Supervisor Rate |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare Home and Community Based Services for Adults with Other Related Conditions (MBM Section 20 waiver, fee-for-service) | $7.04since 2026-01-01 | 15 min | $28.16 | Not classified | — | MaineCare Section 20 Other Related Condi |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Community Waiver Program (1115 demonstration with 1915(c)/1915(i) services; ADMH-DDD) | $6.50since 2020-12-17 | 15 min | — | Not classified | — | ADMH Community Waiver Program Rate Sheet |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Developmental Disabilities Services HCBS (DAIL DDSD; PMPM bundle 99199 HW, case management, ARIS) | $6.44since 2024-07-01 | 15 min. | — | Not classified | — | DDSD Medicaid Claim Codes & Reimbursemen |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Developmental Disabilities 1915(c) Waiver (NM.0173) | $6.24since 2026-07-01 | 15 min | $24.96 | Paid by the state, outside plans | — | Developmental Disabilities Waiver Fee Sc |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $5.66since 2026-07-01 | 15 min | $22.64 | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $5.51since 2019-02-01 | 15 min | $22.04 | Not classified | — | CMAP fee schedule: DDS Specialized Servi |
| 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) | $5.20since 2024-04-01 | 15 min | $20.80 | Paid by the state, outside plans | — | Provider Type 38, Waiver for Individuals |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Acquired Brain Disorder 1915(c) waiver | $5.11since 2024-01-01 | 15 min | $20.44 | Paid by the state, outside plans | — | 2024 Fee Schedule - ABD Waiver Fee Sched |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Children with Serious Emotional Disorder 1915(c) Waiver (CSEDW) | $4.98since 2024-10-01 | 15 min | $19.92 | Plans must pay at least this | — | Children with Serious Emotional Disorder |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Aged and Disabled 1915(c) Waiver (ID.1076) | $4.35since 2026-07-01 | 15 min | $17.40 | Not classified | — | Aged and Disabled Waiver Services |
| IowaAny qualified provider (rate does not vary by provider) · Iowa 1915(i) HCBS Habilitation (state plan home and community-based habilitation) | $3.75since 2025-08-01 | 15 min | $15.00 | Not classified | — | HCBS Habilitation and Waiver Upper Rate |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Michelle P. 1915(c) waiver | $3.62since 2025-01-01 | 15 min | $14.48 | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana New Opportunities Waiver (NOW, OCDD/OIDD 1915(c) waiver for people with intellectual/developmental disabilities) | $2.48since 2025-11-18 | 15 min | $9.92 | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Traumatic Brain Injury (TBI) Waiver | $2.35since 2023-07-01 | 15 min | $9.40 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
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 T2021?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $6.44. California pays the most ($174.01 per 15 min) and Indiana the least ($2.35 per 15 min).
Which state pays the highest Medicaid rate for T2021?
California, at $174.01 per 15 min ($696.04 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for T2021?
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
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Track T2021 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.