T2028 Medicaid reimbursement rates by state
Specialized supply, not otherwise specified, waiver. 12 state Medicaid programs publish a fee-for-service rate for T2028 at the self directed level. Rates run from $1.00 in Hawaii to $9,680.00 in Kentucky, with a median of $1,500.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 12
- Median rate
- $1,500.00units vary by state
- Highest
- $9,680.00Kentucky
- Medicare (non-facility)
- —not on the physician fee schedule
T2028 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 |
|---|---|---|---|---|---|---|
| KentuckySelf-directed worker (hired by the person or family) · Kentucky Supports for Community Living (SCL) 1915(c) waiver | $9,680.00since 2025-01-01 | Lifetime | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS Children's Mental Health (CMH) 1915(c) waiver | $7,154.64since 2025-08-01 | Year | — | Not classified | — | HCBS Habilitation and Waiver Upper Rate |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri Medically Complex Adult Waiver (1915(c)) | $5,050.00since 2016-01-01 | — | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Medically Com |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Elderly and Disabled (E&D) 1915(c) waiver (incl. Community Transition Services) | $2,500.00since 2012-01-01 | — | — | Paid by the state, outside plans | — | MS DOM Elderly and Disabled Waiver fee s |
| MontanaAny qualified provider (rate does not vary by provider) · Montana HCBS waiver for adults with severe disabling mental illness (1915(c), fee-for-service) | $2,245.71since 2025-07-01 | — | — | Not classified | — | Montana Medicaid Fee Schedule - HCBS for |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $2,000.00since 2006-12-01 | — | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal home & community-based waiver services | $1,000.00since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Community Long Term Care waivers (Community Choices, HIV/AIDS, Mechanical Ventilator Dependent; 1915(c)) | $47.50since 2025-11-01 | per unit | — | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska 1915(c) home and community-based waivers (Senior and Disabilities Services) | $45.00since 2018-07-01 | — | — | Not classified | — | Specialized Medical Equipment Fee Schedu |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina CAP consumer-directed option (CAP/CD) | $10.89since 2025-10-01 | Each | — | Paid by the state, outside plans | — | NC Medicaid fee schedule 'CAP- Consumer |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $1.15since 2026-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii DOH DDD Medicaid I/DD waiver (1915(c) HI.0013) | $1.00since 2023-11-01 | Per Service Unit | — | Paid by the state, outside plans | — | DOH DDD I/DD Waiver Schedule of Rates (m |
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 T2028?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $1,500.00. Kentucky pays the most ($9,680.00 per Lifetime) and Hawaii the least ($1.00 per Per Service Unit).
Which state pays the highest Medicaid rate for T2028?
Kentucky, at $9,680.00 per Lifetime, effective 2025-01-01.
Do managed-care plans pay the same rate for T2028?
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.