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Billing code T2027 · Other home & community services

T2027 Medicaid reimbursement rate by state (2026)

Specialized childcare, waiver; per 15 minutes. Medicaid pays a median of $7.35 for T2027 across 11 states, from $0.80 in Wisconsin to $28.50 in South Carolina.

Data as of Oct 5, 202611 statesEvery rate links to its official source

States publishing
11
National median
$7.35units vary by state
Lowest
$0.80Wisconsin
Highest
$28.50South Carolina
Median per hour
$28.0510 time-based states
Answer

What does Medicaid pay for T2027?

11 state Medicaid programs publish a fee-for-service rate for T2027. The national median is $7.35 (units differ between states). South Carolina pays the most, $28.50 per hour, and Wisconsin the least, $0.80 per 15-min., a 35.6x spread. Converted to an hour of service in the 10 states that bill it by time, the median is $28.05 per hour.

State ranking

T2027 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1South Carolina Source · since 2025-11-01$28.50hour$28.50Paid by the state, outside plans—
2Iowa Source · since 2025-08-01$10.0715 min$40.28Not classified—
3Texas Source · since 2021-04-01$9.84hour$9.84Paid by the state, outside plans—
5Utah Source · since 2004-07-01$7.9615 min$31.84Plans negotiate; applies out of network—
6Wyoming Source · since 2024-07-01$7.3515 min$29.40Not classified—
10Colorado Source · since 2026-07-01$2.0315 min$8.12Paid by the state, outside plans—
11Wisconsin Source · since 2025-01-01$0.8015-min.—Paid by the state, outside plans—
See all 11 states for T2027 — start free

4 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track T2027 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for T2027?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $7.35. South Carolina pays the most ($28.50 per hour) and Wisconsin the least ($0.80 per 15-min.).

Which state pays the highest Medicaid rate for T2027?

South Carolina, at $28.50 per hour ($28.50 per hour), effective 2025-11-01.

Do managed-care plans pay the same rate for T2027?

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 workspace shows the rule for each state, cited to the contract or statute.