T2025 Medicaid reimbursement rates by state
Waiver services; not otherwise specified (nos). 31 state Medicaid programs publish a fee-for-service rate for T2025 at the self directed level. Rates run from $1.30 in Oklahoma to $88,188.00 in Minnesota, with a median of $78.92.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 31
- Median rate
- $78.92units vary by state
- Highest
- $88,188.00Minnesota
- Medicare (non-facility)
- —not on the physician fee schedule
T2025 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) | $88,188.00⚠ over 3× mediansince 2006-06-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Brain Injury Program (TBI; DAIL ASD), Rehab/Long Term (U8) and Mental Health Funded (HI/UD) | $5,039.76since 2025-07-01 | 1 Unit = Lifetime | — | Not classified | — | DAIL Adult Services Division - Billing C |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Health & Wellness Waiver (adults with disabilities under 60; formerly A&D) | $4,000.00since 2018-07-01 | unit | — | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| 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) | $3,000.00since 2024-04-01 | year | — | Paid by the state, outside plans | — | Provider Type 38, Waiver for Individuals |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Elderly and Disabled (E&D) 1915(c) waiver (incl. Community Transition Services) | $2,500.00⚠ over 3× mediansince 2012-01-01 | — | — | Paid by the state, outside plans | — | MS DOM Elderly and Disabled Waiver fee s |
| KentuckySelf-directed worker (hired by the person or family) · Kentucky Supports for Community Living (SCL) 1915(c) waiver | $1,210.00since 2025-01-01 | Per Plan of Care Year | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| FloridaAny qualified provider (rate does not vary by provider) · Florida iBudget waiver for people with developmental disabilities (APD) | $1,063.24⚠ over 3× mediansince 2026-07-01 | day | — | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Autism Waiver (DDS-operated 1915(c)) | $1,000.00⚠ over 3× mediansince 2018-01-01 | — | — | Not classified | — | CMAP fee schedule: Autism Waiver Service |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Mi Via self-directed 1915(c) Waiver (NM.0448) | $406.68since 2024-10-01 | month | — | Paid by the state, outside plans | — | Mi Via Waiver Fee Schedule - October 1, |
| North DakotaAny qualified provider (rate does not vary by provider) · North Dakota 1915(c) Traditional IID/DD HCBS Waiver (ND.0037; DD payment system) | $346.95since 2026-07-01 | — | — | Not classified | — | DD Rate Guidelines - 2026-2027 Salary Re |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota CHOICES Waiver (1915(c) comprehensive developmental disabilities; DHS Division of Developmental Disabilities) | $201.46since 2026-06-01 | day | — | Not classified | — | South Dakota Medicaid CHOICES Waiver Fee |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington ALTSA home and community services (other HCBS) | $150.00since 2019-07-01 | EA | — | Paid by the state, outside plans | — | DSHS ORM Home & Community Based Rates Hi |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Developmental Disabilities 1915(c) waiver | $117.15since 2024-01-01 | — | — | Paid by the state, outside plans | — | 2024 Fee Schedule - DD Waiver Fee Schedu |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $100.00since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| TexasAgency provider | $88.62since 2021-04-01 | day | — | Paid by the state, outside plans | — | HHSC PFD YES payment rates (2021-yes-rat |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island developmental disabilities services (BHDDH, paid fee-for-service under the 1115 waiver) | $78.92since 2023-07-01 | — | — | Paid by the state, outside plans | — | RI Medicaid Interactive Fee For Service |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware DDDS Lifespan 1915(c) HCBS waiver | $41.92since 2025-01-01 | hour | — | Paid by the state, outside plans | — | DDDS Medicaid HCBS 1915(c) Lifespan Waiv |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $35.77since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| UtahAny qualified provider (rate does not vary by provider) · Utah Acquired Brain Injury 1915(c) waiver | $33.02since 2026-10-05 | — | — | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska 1915(c) home and community-based waivers (Senior and Disabilities Services) | $32.26since 2026-07-01 | meal | — | Not classified | — | Chart of Waiver Services Rates (FY27) |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Care Management Entity (youth high-fidelity wraparound) | $29.54since 2026-07-01 | — | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| GeorgiaAide or attendant (HHA, CNA, PCA, home care aide) · Georgia Independent Care Waiver Program (adults with physical disabilities or brain injury) | $27.54since 2024-07-01 | hour | $27.54 | Paid by the state, outside plans | — | Part II Policies and Procedures: Indepen |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Autism 1915(c) waiver | $26.10since 2024-10-15 | 15 min | $104.40 | Paid by the state, outside plans | — | Arkansas Medicaid Autism Waiver Fee Sche |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania ODP Adult Autism Waiver | $24.17since 2024-07-01 | 15-minute unit | — | Not classified | — | 54 Pa.B. 7290: Corrected Fee Schedule Ra |
| South CarolinaSelf-directed worker (hired by the person or family) · South Carolina Head and Spinal Cord Injury (HASCI) Waiver (SC.0284, DDSN-operated) | $20.77since 2025-11-01 | hour | $20.77 | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Intellectual/Developmental Disabilities 1915(c) Waiver (IDDW) | $16.27since 2025-10-01 | 15 min | $65.08 | Paid by the state, outside plans | — | BMS memo 'Rate Increases' (HCBS & PC Rat |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $11.83since 2025-07-01 | day | — | Not classified | — | Montana Healthcare Programs Fee Schedule |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Community Waiver Program (1115 demonstration with 1915(c)/1915(i) services; ADMH-DDD) | $10.00since 2020-12-17 | 15 min | — | Not classified | — | ADMH Community Waiver Program Rate Sheet |
| ColoradoSelf-directed worker (hired by the person or family) · Colorado HCBS waiver: Supported Living Services (SLS) | $6.95since 2025-10-01 | 15 min | $27.80 | Paid by the state, outside plans | — | DD, SLS, CES (effective October 1, 2025) |
| 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) | $4.00since 2025-11-18 | 15 min | $16.00 | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| OklahomaSelf-directed worker (hired by the person or family) · Oklahoma ADvantage 1915(c) waiver (older adults and adults with physical disabilities) | $1.30since 2024-10-01 | year | — | Paid by the state, outside plans | — | Reimbursement Rates for Services, ADvant |
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 T2025?
It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $78.92. Minnesota pays the most ($88,188.00) and Oklahoma the least ($1.30 per year).
Which state pays the highest Medicaid rate for T2025?
Minnesota, at $88,188.00, effective 2006-06-01.
Do managed-care plans pay the same rate for T2025?
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 Other home & community services codes
96158Positive behavioral interventions and support · 40 statesT1017Targeted case management, each 15 minutes · 37 statesT1016Case management, each 15 minutes · 36 statesT1001Nursing assessment / evaluation · 35 statesT1005Respite care services, up to 15 minutes · 35 statesS5125Attendant care services; per 15 minutes · 34 statesS5170Home delivered meals, including preparation; per meal · 34 statesS5150Unskilled respite care, not hospice; per 15 minutes · 30 statesS5161Emergency response system; service fee, per month · 29 statesT2022Case management, per month · 28 statesG0101Respite care (daily) · 27 statesS5160Emergency response system; installation and testing · 27 states
Track T2025 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.