T2032 Medicaid reimbursement rate by state (2026)

• Order. States are listed from the highest published rate to the lowest. No single unit is shared by 8 or more states for T2032, so the order is by published amount and is not a like-for-like rank.
• Medicaid rate. The most the state's fee-for-service program pays for one unit, as published. 3 of the 5 states list more than one rate for T2032, by modifier, provider type or setting; the table shows the one that matches the provider level and setting used across states, without add-ons.
• Unit. All 5 states publish T2032 per month, so the amounts compare directly.
• Per hour. T2032 is not billed in time units in these states, so no hourly figure is shown.
• Managed-care plans. The rule the state sets for its plans on this rate. What each rule means is explained below.
• % of Medicare. No Medicare physician fee schedule amount is on file for T2032, so there is no percentage.
• Source and date. Each Source link opens the state's own document; “since” is the date the rate took effect.

Published rates for T2032 run from $726.00 in Kentucky to $3,208.20 in Florida, a 4.4x gap in the same unit. Half the states pay more than the median of $2,865.14 per month and half pay less. The usual reasons for a spread like this in IDD services rates:

• Rates vary with staffing ratio, setting and the person's assessed level of support.
• Each waiver can carry its own fee schedule, so one state may publish several rates for the same service.
• Waiver rates are usually built from a rate model with assumptions about wages, benefits, training and productive time, and states rebuild those models on different schedules.

Timing matters too. 2 states set the current rate for T2032 in 2026 or later. A state that has not updated its rate in years will drift down the ranking as others raise theirs.

Most Medicaid members are in managed-care plans, and plans don't publish their provider fee schedules. For T2032, the public signal is the rule each state sets for its plans, recorded on each rate above.

In 1 state, the published rate binds plans: a floor, a pass-through or a state-set rate. In 2 states, the service is paid outside the plans or through a state-directed payment. The rule for the remaining 2 states is not classified yet.

• Paid by the state, outside the plans (2 states). Bill the state's Medicaid program, not the plan, at the published rate. There is no plan contract to negotiate for this service.
• Plans must pay at least the published rate (1 state). The published rate is your floor. Negotiate up from it, and if a plan pays less, the contract provision is the basis for a payment dispute.

Plan-negotiated rates are never estimated here. To see the rule and its citation for a particular state, open that state's managed-care page, for example Florida managed care.

T2032 is a HCPCS Level II state Medicaid agency code in the IDD services line, billed mostly by providers of waiver services for people with intellectual and developmental disabilities. T codes were created for state Medicaid agencies, for services such as personal care, private duty nursing, case management and waiver services. Each state defines how the code is used and paid, so units vary from 15 minutes to a month.

Day services and supported employment are commonly billed in 15-minute units or per day; residential services per day or per month. Modifiers often identify the staffing ratio or support tier, and each carries its own rate.

Before billing, confirm the rate, unit and any modifier with the state's current schedule or the plan: the amounts here are as published, not a guarantee of payment.