T2038 Medicaid reimbursement rate by state (2026)
Community transition, waiver; per service. Medicaid pays a median of $2,122.86 for T2038 across 20 states, from $8.00 in Alabama to $40,000.00 in Vermont.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 20
- National median
- $2,122.86units vary by state
- Lowest
- $8.00Alabama
- Highest
- $40,000.00Vermont
What does Medicaid pay for T2038?
20 state Medicaid programs publish a fee-for-service rate for T2038 at the agency level. The national median is $2,122.86 (units differ between states). Vermont pays the most, $40,000.00, and Alabama the least, $8.00 per 15 min, a 5000.0x spread.
T2038 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 20 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for T2038?
It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $2,122.86. Vermont pays the most ($40,000.00) and Alabama the least ($8.00 per 15 min).
Which state pays the highest Medicaid rate for T2038?
Vermont, at $40,000.00, effective 2012-04-01.
Do managed-care plans pay the same rate for T2038?
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.