H2032 Medicaid reimbursement rates by state
Activity therapy, per 15 minutes. 14 state Medicaid programs publish a fee-for-service rate for H2032 at the agency level. Rates run from $1.94 in Texas to $74.86 in Montana, with a median of $12.74.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 14
- Median rate
- $12.74units vary by state
- Highest
- $74.86Montana
- Medicare (non-facility)
- —not on the physician fee schedule
H2032 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 |
|---|---|---|---|---|---|---|
| MontanaAny qualified provider (rate does not vary by provider) · Montana Big Sky Waiver for elderly and physically disabled adults (1915(c), fee-for-service) | $74.86since 2025-07-01 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $66.54⚠ over 3× median | 15 min | $266.16 | Paid by the state, outside plans | — | MDHHS Brain Injury Services rates (BIS-R |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $28.55since 2026-07-01 | 15 min | $114.20 | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medically Fragile 1915(c) Waiver (NM.0223) | $26.33since 2026-07-01 | 15 min | $105.32 | Paid by the state, outside plans | — | Medically Fragile Waiver Fee Schedule (E |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Family Supports Waiver (FSW) for people with IDD | $16.81since 2023-07-01 | 15 min | $67.24 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Children's Choice Waiver (OCDD/OIDD 1915(c) waiver for children with developmental disabilities) | $13.75since 2025-11-18 | 15 min | $55.00 | Paid by the state, outside plans | — | Children's Choice Waiver rate and proced |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $13.14since 2024-07-01 | 15 min | $52.56 | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Behavioral Health Center benefit plans (WDH Behavioral Health Division, not Medicaid) | $12.34since 2026-07-01 | 15 min | $49.36 | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $11.25since 2022-07-01 | 15 min | $45.00 | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $10.18since 2004-01-01 | 15 min | $40.72 | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for children with a life-limiting illness (CLLI) | $9.95since 2024-07-01 | 15 min | $39.80 | Paid by the state, outside plans | — | CLLI, CHCBS, CHRP (effective July 1, 202 |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Adult DD 1915(i) State Plan HCBS (developmental therapy, community crisis supports) | $4.00since 2026-07-01 | 15 min | $16.00 | Paid by the state, outside plans | — | Adult Developmental Disabilities Waiver |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $2.30since 2004-01-01 | 15 min | $9.20 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| TexasAgency provider | $1.94since 2021-04-01 | 15 min | $7.76 | Paid by the state, outside plans | — | HHSC PFD YES payment rates (2021-yes-rat |
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 H2032?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $12.74. Montana pays the most ($74.86) and Texas the least ($1.94 per 15 min).
Which state pays the highest Medicaid rate for H2032?
Montana, at $74.86, effective 2025-07-01.
Do managed-care plans pay the same rate for H2032?
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.