T2033 Medicaid reimbursement rates by state
Residential care, not otherwise specified (nos), waiver. 24 state Medicaid programs publish a fee-for-service rate for T2033 at the family caregiver level. Rates run from $30.28 in Montana to $1,000.00 in Alabama, with a median of $208.24.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 24
- Median rate
- $208.24units vary by state
- Highest
- $1,000.00Alabama
- Medicare (non-facility)
- —not on the physician fee schedule
T2033 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 |
|---|---|---|---|---|---|---|
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Intellectual Disabilities (ID) 1915(c) waiver (AL.0001; ADMH-DDD operated) | $1,000.00since 2024-01-05 | month | — | Not classified | — | ADMH-DDD ID / LAH Waiver Procedure Codes |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska 1115 Behavioral Health waiver services | $579.90⚠ over 3× mediansince 2026-07-01 | day | — | Not classified | — | Chart of (Behavioral Health Reform) 1115 |
| District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Intellectual and Developmental Disabilities (IDD) 1915(c) waiver (DDS) | $544.57since 2026-07-01 | day | — | Not classified | — | REFRP00178CSV - Medical Fee Schedule Rep |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with a brain injury (BI) | $362.88since 2026-07-01 | day | — | Paid by the state, outside plans | — | EBD, CMHS, BI, CIH (effective July 1, 20 |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Comprehensive Supports Waiver (COMP) for people with IDD | $341.79since 2025-04-01 | 1 Day | — | Paid by the state, outside plans | — | Comprehensive Support Waiver Program Cha |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $300.00since 2024-05-01 | day | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia developmental disability waivers (Building Independence, Family and Individual Supports, Community Living) | $279.08since 2026-07-01 | 344 billing days Per Diem | — | Paid by the state, outside plans | — | DMAS Developmental Disabilities Waiver S |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware PROMISE 1915(i) behavioral health HCBS (DSAMH) | $262.69since 2022-03-25 | day | — | Paid by the state, outside plans | — | PROMISE Home and Community-Based Service |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming DD waivers (Comprehensive and Supports, 1915(c)) | $255.01since 2022-02-01 | day | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island developmental disabilities services (BHDDH, paid fee-for-service under the 1115 waiver) | $251.94since 2026-10-01 | day | — | Paid by the state, outside plans | — | RI Medicaid Interactive Fee For Service |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma Developmental Disabilities Services 1915(c) waivers (Community, In-Home Supports adults and children, Homeward Bound) | $225.23since 2024-10-01 | day | — | Paid by the state, outside plans | — | DDS Administrative Letter 24-02: Rate In |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Acquired Brain Injury (ABI, acute) 1915(c) waiver | $225.00since 2025-01-01 | day | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Mi Via self-directed 1915(c) Waiver (NM.0448) | $191.48since 2024-10-01 | day | — | Paid by the state, outside plans | — | Mi Via Waiver Fee Schedule - October 1, |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $147.12since 2025-09-01 | day | — | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| LouisianaPaid family caregiver / legally responsible individual · Louisiana New Opportunities Waiver (NOW, OCDD/OIDD 1915(c) waiver for people with intellectual/developmental disabilities) | $139.27since 2026-10-01 | day | — | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $103.25since 2009-05-25 | day | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| South DakotaPaid family caregiver / legally responsible individual · South Dakota HOPE Waiver (1915(c) elderly and adults with physical disabilities; DHS Long Term Services and Supports) | $102.51since 2026-07-01 | day | — | Not classified | — | South Dakota Medicaid HOPE Waiver Fee Sc |
| IndianaPaid family caregiver / legally responsible individual · Indiana Community Integration and Habilitation (CIH) Waiver for people with IDD | $99.71since 2023-07-01 | day | — | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $91.28since 2026-10-01 | day | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| North DakotaAide or attendant (HHA, CNA, PCA, home care aide) · North Dakota Adults and Aging HCBS Qualified Service Provider (QSP) rates (lines naming no single funding program) | $77.69since 2026-07-01 | day | — | Not classified | — | QSP Rates and Rural Differential Rate (C |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Choices for Independence (CFI) 1915(c) waiver | $73.45since 2024-01-01 | day | — | Paid by the state, outside plans | — | 2024 Fee Schedule - HCBC CFI Covered Pro |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Med-QUEST HCBS fee-for-service rates (QI memos) | $71.31since 2026-01-01 | day | — | Not classified | — | Med-QUEST memo QI-2604A: 2026 |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington ALTSA residential care (adult family homes, assisted living, ARC/EARC) | $40.50since 2019-07-01 | day | — | Paid by the state, outside plans | — | DSHS ORM Home & Community Based Rates Hi |
| MontanaSelf-directed worker (hired by the person or family) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $30.28since 2025-07-01 | Staff Hour | — | Not classified | — | Montana Healthcare Programs Fee Schedule |
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 T2033?
It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $208.24. Alabama pays the most ($1,000.00 per month) and Montana the least ($30.28 per Staff Hour).
Which state pays the highest Medicaid rate for T2033?
Alabama, at $1,000.00 per month, effective 2024-01-05.
Do managed-care plans pay the same rate for T2033?
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
T1023Screening to determine the appropriateness of consideration... · 38 statesT2021Day habilitation, waiver; per 15 minutes · 29 statesT2019Habilitation, supported employment, waiver; per 15 minutes · 28 statesH2023Supported employment, per 15 minutes · 26 statesH0045Respite care services, not in the home, per diem · 23 statesT2016Habilitation, residential, waiver; per diem · 23 statesT2015Habilitation, prevocational, waiver; per hour · 20 statesH2025Ongoing support to maintain employment, per 15 minutes · 19 statesT2017Habilitation, residential, waiver; 15 minutes · 19 statesH0043Supported housing, per diem · 18 statesT2020Day habilitation, waiver; per diem · 14 statesS5105Day care services, center-based · 11 states
Track T2033 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.