T2039 Medicaid reimbursement rates by state
Vehicle modifications, waiver; per service. 10 state Medicaid programs publish a fee-for-service rate for T2039 at the self directed level. Rates run from $1.00 in Hawaii to $25,000.00 in South Dakota, with a median of $7,078.55.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $7,078.55units vary by state
- Highest
- $25,000.00South Dakota
- Medicare (non-facility)
- —not on the physician fee schedule
T2039 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 |
|---|---|---|---|---|---|---|
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Family Support 360 Waiver (1915(c) developmental disabilities, in-home supports) | $25,000.00since 2025-07-01 | month | — | Not classified | — | South Dakota Medicaid Family Support 360 |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $10,000.00since 2003-10-01 | — | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Intellectual Disability and Related Disabilities (ID/RD) Waiver (SC.0237, DDSN-operated) | $7,500.00since 2025-11-01 | Lifetime | — | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| KentuckySelf-directed worker (hired by the person or family) · Kentucky Supports for Community Living (SCL) 1915(c) waiver | $7,260.00since 2025-01-01 | Every Five Years | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS Brain Injury (BI) 1915(c) waiver | $7,154.64since 2025-08-01 | Per Year | — | Not classified | — | HCBS Habilitation and Waiver Upper Rate |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Developmental Disabilities Services HCBS (DAIL DDSD; PMPM bundle 99199 HW, case management, ARIS) | $7,002.45since 2023-07-01 | 1 Unit=1 encounter | — | Not classified | — | DDSD Medicaid Claim Codes & Reimbursemen |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Big Sky Waiver for elderly and physically disabled adults (1915(c), fee-for-service) | $4,606.56since 2025-07-01 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska 1915(c) home and community-based waivers (Senior and Disabilities Services) | $1,400.00since 2018-07-01 | 1 every 5 years, one vehicle only | $1,400 | — | Not classified | — | Specialized Medical Equipment Fee Schedu |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Independent Care Waiver Program (adults with physical disabilities or brain injury) | $247.50since 2021-07-01 | — | — | Paid by the state, outside plans | — | Independent Care Waiver Services - April |
| 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 T2039?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $7,078.55. South Dakota pays the most ($25,000.00 per month) and Hawaii the least ($1.00 per Per Service Unit).
Which state pays the highest Medicaid rate for T2039?
South Dakota, at $25,000.00 per month, effective 2025-07-01.
Do managed-care plans pay the same rate for T2039?
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.