Tennessee Medicaid reimbursement rates
1,237 current fee-for-service and managed-care rates from Tennessee Medicaid, across 58 services and 10 programs, normalized by code, provider level and unit. Each links to one of 21 official source documents.
Last retrieved 2026-10-02. History back to 2013-01-01.
- Current rates
- 1,237
- Services
- 58
- Programs
- 10
- Lines with a plan rule
- 12of 13 service lines
By industry
Applied behavior analysis (ABA)Tennessee rates, labor costs and changesBehavioral healthTennessee rates, labor costs and changesHome healthTennessee rates, labor costs and changesHome care & personal careTennessee rates, labor costs and changesPrivate duty nursingTennessee rates, labor costs and changesSkilled nursing facilitiesTennessee rates, labor costs and changesHospiceTennessee rates, labor costs and changesIntellectual & developmental disabilitiesTennessee rates, labor costs and changesOutpatient therapy (PT, OT, speech)Tennessee rates, labor costs and changes
Tennessee rates by service
The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.
| Service | Line | Median rate | Unit | Per hour | Variants |
|---|---|---|---|---|---|
| Behavior analysis assessment (disability system) | ABA / autism services | $18.85 | 15 min | $75.40 | 2 |
| Behavior analysis services (disability system) | ABA / autism services | $18.85 | 15 min | $75.40 | 2 |
| Therapeutic behavioral services (daily rate) | Behavioral health | $257.44 | day | — | 20 |
| Dental services | Dental | $132.92 | — | — | 296 |
| Orthotics and prosthetics | Equipment & supplies | $328.99 | — | — | 3 |
| Adult day services | Other home & community services | $8.52 | 15 min | $14.14 | 2 |
| Adult foster care | Other home & community services | $201.00 | day | — | 5 |
| Assisted living / alternative living services | Other home & community services | $773.51 | day | — | 2 |
| Case management / support coordination | Other home & community services | $128.12 | month | — | 2 |
| Community transition (moving out of an institution) | Other home & community services | $1,250.00 | — | — | 12 |
| Emergency response system installation | Other home & community services | $52.55 | — | — | 1 |
| Emergency response system monitoring | Other home & community services | $29.95 | month | — | 1 |
| Family and peer mentoring | Other home & community services | $15.00 | hour | $25.00 | 2 |
| HCBS provider incentive payment | Other home & community services | $500.00 | claim | — | 6 |
| Home-delivered meals | Other home & community services | $8.50 | meal | — | 2 |
| Other waiver goods and services | Other home & community services | $50.00 | day | — | 1 |
| Respite care (daily) | Other home & community services | $226.26 | day | — | 11 |
| Respite care (hourly) | Other home & community services | $5.90 | 15 min | $20.44 | 26 |
| Respite in a facility (daily) | Other home & community services | $226.26 | day | — | 11 |
| Service planning meeting | Other home & community services | $25.00 | hour | $25.00 | 2 |
| Transitional care coordination (children's waiver) | Other home & community services | $932.31 | unit | — | 7 |
| Hospice room and board in a nursing home | Hospice | $95.00 | percent of NF room and board rate | — | 1 |
| Hospice routine home care (daily) | Hospice | $100.00 | percent of federal Medicaid hospice rate | — | 1 |
| Additional residential staffing | IDD services | $5.79 | 15 min | $23.16 | 9 |
| Behavior support services (disability waiver) | IDD services | $6.75 | 15 min | $27.00 | 1 |
| Benefits counseling | IDD services | $40.00 | 15 min | $40.00 | 9 |
| Community integration / community access (IDD) | IDD services | $6.10 | 15 min | $24.40 | 3 |
| Consultative clinical assessment (IDD) | IDD services | $25.00 | 15 min | $100.00 | 14 |
| Day habilitation / day program (IDD) | IDD services | $6.10 | 15 min | $24.40 | 18 |
| Employment exploration | IDD services | $1,579.00 | unit | — | 14 |
| In-home and community living supports (IDD) | IDD services | $6.92 | 15 min | $27.68 | 4 |
| Intensive behavioral residential supports | IDD services | $635.46 | day | — | 4 |
| Job development and self-employment outcome payments | IDD services | $500.00 | unit | — | 60 |
| Prevocational services | IDD services | $18.96 | hour | $18.96 | 6 |
| Residential habilitation / group home supports | IDD services | $247.12 | day | — | 257 |
| Shared living / host home / family model | IDD services | $95.87 | day | — | 20 |
| Supported employment (job coaching) | IDD services | $8.44 | 15 min | $33.76 | 137 |
| Supported employment follow-along | IDD services | $130.00 | month | — | 11 |
| Directed payment uniform increase (required MCO uplift) | Other | $62.00 | 3.03% | — | 5 |
| Health plan payment rule (percent or lesser-of) | Other | $65.00 | percent of the MCO's contract rate | — | 2 |
| Managed care minimum payment (percent of state fees) | Other | $100.00 | percent of the State ECF CHOICES rate | — | 1 |
| Companion care | Personal care & attendant | $165.39 | day | — | 6 |
| Family caregiver stipend | Personal care & attendant | $750.00 | month | — | 2 |
| Personal care / attendant care (hourly) | Personal care & attendant | $5.23 | 15 min | $19.80 | 123 |
| Pharmacist medication therapy management (case rate) | Pharmacy | $55.00 | case | — | 4 |
| Pharmacy dispensing fee | Pharmacy | $14.08 | prescription | — | 20 |
| Vaccines and immune globulins | Pharmacy | $10.13 | one time | — | 2 |
| Waiver nursing (RN or LPN, by the 15 minutes) | Private duty nursing | $9.23 | 15 min | $36.92 | 6 |
| Physician and practitioner services (fee schedule) | Physician & professional | $79.57 | visit | — | 11 |
| Primary care care-management fee (per member per month) | Physician & professional | $5.90 | member month | — | 2 |
| Nutrition counseling (dietitian) | Therapy (PT/OT/speech) | $186.85 | day | — | 6 |
| Occupational therapy | Therapy (PT/OT/speech) | $158.92 | 15 min | $96.84 | 12 |
| Orientation and mobility training (vision loss) | Therapy (PT/OT/speech) | $143.40 | day | $85.76 | 6 |
| Physical therapy | Therapy (PT/OT/speech) | $165.48 | 15 min | $100.88 | 12 |
| Speech-language therapy | Therapy (PT/OT/speech) | $152.36 | 15 min | $92.80 | 12 |
| Ambulance mileage | Transportation | $67.50 | percent of Medicare allowable | — | 1 |
| Ground ambulance transport | Transportation | $67.50 | percent of Medicare allowable | — | 7 |
| Waiver transportation (to community activities) | Transportation | $18.00 | day | — | 12 |
Managed care in Tennessee
13 plans on record, 5 state-directed payment records.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Tennessee publish its Medicaid fee schedules?
Tennessee publishes rates across 21 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Tennessee publish?
1,237 rates are current across 58 services and 10 programs, with 2,950 versions on record since 2013-01-01.
Do Tennessee Medicaid managed-care plans pay the fee schedule?
For 12 of 13 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.
Other states
Your Tennessee rate cardYour codes, what Tennessee pays, what plans must pay, and every change in 2026.