H2023 Medicaid reimbursement rates by state
Supported employment, per 15 minutes. 24 state Medicaid programs publish a fee-for-service rate for H2023 at the agency level. Rates run from $0.01 in Rhode Island to $1,071.25 in California, with a median of $14.19.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 24
- Median rate
- $14.19units vary by state
- Highest
- $1,071.25California
- Medicare (non-facility)
- —not on the physician fee schedule
H2023 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 |
|---|---|---|---|---|---|---|
| CaliforniaAny qualified provider (rate does not vary by provider) · California Drug Medi-Cal Organized Delivery System (DHCS county fee schedule / interim rates) | $1,071.25since 2026-07-01 | 2.0 to 3.0 Encounters (1.0 encounters must be FTF*) | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $59.21since 2025-07-01 | Staff Hour | — | Not classified | — | Montana Healthcare Programs Fee Schedule |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $26.84since 2024-07-01 | 15 min | $107.36 | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $26.07since 2025-09-01 | hour | $26.07 | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $25.59since 2022-10-12 | 15 min | $102.36 | Not classified | — | Arkansas Medicaid Adult Behavioral Healt |
| OhioAgency provider · Ohio Specialized Recovery Services (1915(i) for adults with serious mental illness) | $22.02since 2024-01-01 | 15 min | $88.08 | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $19.73since 2025-10-01 | 15 min | $78.92 | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana New Opportunities Waiver (NOW, OCDD/OIDD 1915(c) waiver for people with intellectual/developmental disabilities) | $18.50since 2025-11-18 | 15 min | $74.00 | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware PROMISE 1915(i) behavioral health HCBS (DSAMH) | $18.30since 2022-03-25 | 15 min | $73.20 | Paid by the state, outside plans | — | PROMISE Home and Community-Based Service |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $17.99since 2026-07-01 | 15 min | $71.96 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Mental Health Waiver (WISE, DMHAS-operated 1915(c)) | $17.09since 2021-07-01 | 15 min | $68.36 | Not classified | — | CMAP fee schedule: Mental Health Waiver |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $16.46since 2026-07-01 | 15 min | $65.84 | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Money Follows the Person (TBI track) | $11.91since 2023-07-01 | 15 min | $47.64 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $11.72since 2024-07-01 | 15 min | $46.88 | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – PRP and Speci |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $11.51since 2010-01-01 | 15 min | $46.04 | Plans negotiate; applies out of network | — | ForwardHealth interactive max fee schedu |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Adults with Developmental Disabilities 1915(c) Waiver (ID.0076) | $11.44since 2026-07-01 | 15 min | $45.76 | Paid by the state, outside plans | — | Adult Developmental Disabilities Waiver |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Intellectual Disabilities/Developmental Disabilities (ID/DD) 1915(c) waiver | $11.01since 2026-01-01 | 15 min | $44.04 | Paid by the state, outside plans | — | MS DOM ID/DD Waiver fee schedule (Intell |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania ODP intellectual disability/autism waivers (Consolidated, Community Living, Person/Family Directed Support) and base-funded services | $10.72since 2024-10-01 | 15-minute unit | — | Not classified | — | 54 Pa.B. 5541: Fee Schedule Rates and De |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Behavioral Health Center benefit plans (WDH Behavioral Health Division, not Medicaid) | $10.49since 2026-07-01 | 15 min | $41.96 | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $9.72since 2022-07-01 | 15 min | $38.88 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Developmental Disabilities 1915(c) waiver | $7.39since 2024-01-01 | 15 min | $29.56 | Paid by the state, outside plans | — | 2024 Fee Schedule - DD Waiver Fee Schedu |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare Home and Community Based Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder (MBM Section 21 waiver, fee-for-service) | $5.35since 2026-01-01 | 15 min | $21.40 | Not classified | — | MaineCare Section 21 ID/ASD Comprehensiv |
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS Brain Injury (BI) 1915(c) waiver | $2.07since 2025-08-01 | — | — | Plans must pay at least this | — | HCBS Consumer Choice Option Rates Effect |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid behavioral health programs (CMHC, ACT, BH Link, peer, SUD, health homes; fee-for-service) | $0.01since 2016-01-01 | 15 min | $0.04 | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For 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 H2023?
It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $14.19. California pays the most ($1,071.25 per 2.0 to 3.0 Encounters (1.0 encounters must be FTF*)) and Rhode Island the least ($0.01 per 15 min).
Which state pays the highest Medicaid rate for H2023?
California, at $1,071.25 per 2.0 to 3.0 Encounters (1.0 encounters must be FTF*), effective 2026-07-01.
Do managed-care plans pay the same rate for H2023?
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... · 36 statesT2021Day habilitation, waiver; per 15 minutes · 27 statesT2019Habilitation, supported employment, waiver; per 15 minutes · 26 statesH0045Respite care services, not in the home, per diem · 23 statesS5100Day care services, adult; per 15 minutes · 22 statesT2033Residential care, not otherwise specified (nos), waiver · 22 statesT2016Habilitation, residential, waiver; per diem · 21 statesT2015Habilitation, prevocational, waiver; per hour · 19 statesT2017Habilitation, residential, waiver; 15 minutes · 18 statesH0043Supported housing, per diem · 17 statesH2025Ongoing support to maintain employment, per 15 minutes · 17 statesT2020Day habilitation, waiver; per diem · 14 states
Track H2023 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.