T1002 Medicaid reimbursement rates by state
Rn services, up to 15 minutes. 20 state Medicaid programs publish a fee-for-service rate for T1002 at the rn level. Rates run from $5.61 in Nebraska to $3,510.00 in New Jersey, with a median of $17.98.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 20
- Median rate
- $17.98units vary by state
- Highest
- $3,510.00New Jersey
- Medicare (non-facility)
- —not on the physician fee schedule
T1002 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 |
|---|---|---|---|---|---|---|
| New JerseyRegistered nurse (RN) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $3,510.00⚠ over 3× mediansince 2025-12-01 | 15 min | $14,040.00 | Plans must pay at least this | — | NJMMIS Procedure Master Listing CPTHCPCS |
| IllinoisRegistered nurse (RN) · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329) | $54.38since 2026-07-01 | hour | $54.38 | Plans must pay at least this | — | HSP Rates and Fees (Medicaid Waiver Serv |
| GeorgiaRegistered nurse (RN) · Georgia New Options Waiver (NOW) for people with IDD | $36.68since 2025-04-01 | 15 min | $146.72 | Paid by the state, outside plans | — | New Options Waiver Program-Q2-April 2025 |
| OhioRegistered nurse (RN) · Ohio Medicaid (fee-for-service) | $35.99since 2024-01-01 | 15 min | $143.96 | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| MassachusettsRegistered nurse (RN) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $33.12since 2024-08-01 | 15 min | $132.48 | Paid by the state, outside plans | — | Rates for Continuous Skilled Nursing Age |
| VirginiaRegistered nurse (RN) · Virginia Medicaid (fee-for-service, DMAS) | $22.73since 2026-07-01 | 15 min | $90.92 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| WisconsinRegistered nurse (RN) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $20.48since 2004-01-01 | 15 min | $81.92 | Paid by the state, outside plans | — | ForwardHealth max fee schedule: School B |
| MissouriRegistered nurse (RN) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $20.29since 2022-07-01 | 15 min | $81.16 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| MarylandRegistered nurse (RN) · Maryland Medicaid (fee-for-service, MDH) | $19.87since 2024-07-01 | 15 min | $79.50 | Not classified | — | PT 07-25 Fiscal Year 2025 Rates for Nurs |
| ArizonaRegistered nurse (RN) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $19.40since 2021-02-01 | 15 min | $77.60 | Suggested schedule for plans | — | AHCCCS MCO Behavioral Health Outpatient |
| PennsylvaniaRegistered nurse (RN) · Pennsylvania OBRA Waiver (adults with developmental physical disabilities) | $16.55since 2026-07-01 | 15 min | $66.20 | Not classified | — | OLTL Home and Community Based Waiver Ser |
| MinnesotaRegistered nurse (RN) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $13.26since 2026-01-01 | 15 min | $53.04 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| WashingtonRegistered nurse (RN) · Washington ALTSA nursing services (nurse delegation, private duty nursing for adults) | $12.86since 2025-07-01 | OF | — | Paid by the state, outside plans | — | DSHS ORM Home & Community Based Rates Hi |
| South CarolinaRegistered nurse (RN) · South Carolina Intellectual Disability and Related Disabilities (ID/RD) Waiver (SC.0237, DDSN-operated) | $12.50since 2025-11-01 | 15 min | $50.00 | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| CaliforniaRegistered nurse (RN) · California Medi-Cal school-based services (Local Educational Agency) | $12.08since 2026-10-01 | 15 min | $48.32 | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
| TexasRegistered nurse (RN) · Texas Medicaid (fee-for-service, TMHP) | $10.50since 2014-01-01 | 15 min | $42.00 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Tuber |
| North CarolinaRegistered nurse (RN) · North Carolina Medicaid Direct (fee-for-service) | $8.72since 2025-10-01 | 15 min | $34.88 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Home Infusion |
| LouisianaRegistered nurse (RN) · Louisiana New Opportunities Waiver (NOW, OCDD/OIDD 1915(c) waiver for people with intellectual/developmental disabilities) | $8.55since 2026-10-01 | 15 min | $34.20 | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| FloridaRegistered nurse (RN) · Florida iBudget waiver for people with developmental disabilities (APD) | $8.16since 2026-07-01 | 15 min | $32.64 | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| NebraskaRegistered nurse (RN) · Nebraska Medicaid (fee-for-service) | $5.61since 2026-07-01 | unit | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
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 T1002?
It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $17.98. New Jersey pays the most ($3,510.00 per 15 min) and Nebraska the least ($5.61 per unit).
Which state pays the highest Medicaid rate for T1002?
New Jersey, at $3,510.00 per 15 min ($14,040.00 per hour), effective 2025-12-01.
Do managed-care plans pay the same rate for T1002?
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.