T1003 Medicaid reimbursement rates by state
Lpn/lvn services, up to 15 minutes. 19 state Medicaid programs publish a fee-for-service rate for T1003 at the lpn level. Rates run from $1.06 in Florida to $3,510.00 in New Jersey, with a median of $12.88.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 19
- Median rate
- $12.88units vary by state
- Highest
- $3,510.00New Jersey
- Medicare (non-facility)
- —not on the physician fee schedule
T1003 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 JerseyLicensed practical / vocational nurse (LPN / LVN) · 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 |
| IllinoisLicensed practical / vocational nurse (LPN / LVN) · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329) | $44.25since 2026-07-01 | hour | $44.25 | Plans must pay at least this | — | HSP Rates and Fees (Medicaid Waiver Serv |
| OhioLicensed practical / vocational nurse (LPN / LVN) · Ohio Medicaid (fee-for-service) | $25.41since 2024-01-01 | 15 min | $101.64 | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| GeorgiaLicensed practical / vocational nurse (LPN / LVN) · Georgia New Options Waiver (NOW) for people with IDD | $24.36since 2025-04-01 | 15 min | $97.44 | Paid by the state, outside plans | — | New Options Waiver Program-Q2-April 2025 |
| VirginiaLicensed practical / vocational nurse (LPN / LVN) · Virginia Medicaid (fee-for-service, DMAS) | $23.89since 2026-07-01 | 15 min | $95.56 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| MassachusettsLicensed practical / vocational nurse (LPN / LVN) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $23.01since 2024-08-01 | 15 min | $92.04 | Paid by the state, outside plans | — | Rates for Continuous Skilled Nursing Age |
| WisconsinLicensed practical / vocational nurse (LPN / LVN) · 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 |
| ArizonaLicensed practical / vocational nurse (LPN / LVN) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $15.27since 2021-02-01 | 15 min | $61.08 | Suggested schedule for plans | — | AHCCCS MCO Behavioral Health Outpatient |
| WashingtonLicensed practical / vocational nurse (LPN / LVN) · Washington ALTSA nursing services (nurse delegation, private duty nursing for adults) | $13.95since 2025-01-01 | 1/4 HR | — | Paid by the state, outside plans | — | DSHS ORM Home & Community Based Rates Hi |
| MarylandLicensed practical / vocational nurse (LPN / LVN) · Maryland Medicaid (fee-for-service, MDH) | $12.88since 2024-07-01 | 15 min | $51.53 | Not classified | — | PT 07-25 Fiscal Year 2025 Rates for Nurs |
| MissouriLicensed practical / vocational nurse (LPN / LVN) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $12.82since 2022-07-01 | 15 min | $51.28 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| PennsylvaniaLicensed practical / vocational nurse (LPN / LVN) · Pennsylvania OBRA Waiver (adults with developmental physical disabilities) | $11.02since 2026-07-01 | 15 min | $44.08 | Not classified | — | OLTL Home and Community Based Waiver Ser |
| MinnesotaLicensed practical / vocational nurse (LPN / LVN) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $10.18since 2026-01-01 | 15 min | $40.72 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| LouisianaLicensed practical / vocational nurse (LPN / LVN) · Louisiana New Opportunities Waiver (NOW, OCDD/OIDD 1915(c) waiver for people with intellectual/developmental disabilities) | $8.04since 2026-10-01 | 15 min | $32.16 | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| TexasLicensed practical / vocational nurse (LPN / LVN) · Texas Medicaid (fee-for-service, TMHP) | $7.69since 2014-01-01 | 15 min | $30.76 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Tuber |
| CaliforniaLicensed practical / vocational nurse (LPN / LVN) · California Medi-Cal school-based services (Local Educational Agency) | $6.18since 2026-10-01 | 15 min | $24.72 | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
| NebraskaLicensed practical / vocational nurse (LPN / LVN) · Nebraska Medicaid (fee-for-service) | $4.19since 2026-07-01 | unit | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| North CarolinaLicensed practical / vocational nurse (LPN / LVN) · North Carolina Medicaid Direct (fee-for-service) | $3.48since 2022-04-01 | 15 min | $13.92 | Paid by the state, outside plans | — | NC Medicaid fee schedule 'Local Educatio |
| FloridaLicensed practical / vocational nurse (LPN / LVN) · Florida Medicaid (fee-for-service) | $1.06since 2026-01-01 | 15 min | $4.24 | Paid by the state, outside plans | — | Medicaid Certified School Match Program |
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 T1003?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $12.88. New Jersey pays the most ($3,510.00 per 15 min) and Florida the least ($1.06 per 15 min).
Which state pays the highest Medicaid rate for T1003?
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 T1003?
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.