T1019 Medicaid reimbursement rates by state
Personal care services, per 15 minutes. 25 state Medicaid programs publish a fee-for-service rate for T1019 at the aide level. Rates run from $2.72 in Massachusetts to $29.25 in Illinois, with a median of $6.84.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 25
- Median rate
- $6.84units vary by state
- Highest
- $29.25Illinois
- Medicare (non-facility)
- —not on the physician fee schedule
T1019 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 |
|---|---|---|---|---|---|---|
| IllinoisAide or attendant (HHA, CNA, PCA, home care aide) · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329) | $29.25since 2026-07-01 | hour | $29.25 | Plans must pay at least this | — | HSP Rates and Fees (Medicaid Waiver Serv |
| VirginiaAide or attendant (HHA, CNA, PCA, home care aide) · Virginia developmental disability waivers (Building Independence, Family and Individual Supports, Community Living) | $20.23since 2025-07-01 | hour | $20.23 | Paid by the state, outside plans | — | DMAS Developmental Disabilities Waiver S |
| ConnecticutAide or attendant (HHA, CNA, PCA, home care aide) · Connecticut Home Care Program for Elders (CHCPE; Medicaid waiver and state-funded levels) | $15.95since 2026-09-08 | 15 min | $63.80 | Not classified | — | CMAP fee schedule: CT Home Care 07/01/20 |
| IowaAgency provider · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $10.50since 2012-06-11 | 15 min | $42.00 | Paid by the state, outside plans | — | Iowa Medicaid fee schedule #56 LOCAL EDU |
| North CarolinaAide or attendant (HHA, CNA, PCA, home care aide) · North Carolina CAP consumer-directed option (CAP/CD) | $8.66since 2026-08-01 | 15 min | $34.64 | Paid by the state, outside plans | — | NC Medicaid fee schedule 'CAP- Consumer |
| OhioIndependent (non-agency) provider · Ohio Home Care Waiver (ODM) | $8.37since 2026-04-17 | 15 min | $33.48 | Plans negotiate; applies out of network | — | OAC 5160-46-06 (Register of Ohio final f |
| MissouriAide or attendant (HHA, CNA, PCA, home care aide) · Missouri AIDS Waiver (1915(c)) | $8.14since 2023-07-01 | 15 min | $32.56 | Paid by the state, outside plans | — | MO HealthNet fee schedule: AIDS Waiver |
| ArizonaAide or attendant (HHA, CNA, PCA, home care aide) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $7.69since 2020-01-01 | 15 min | $30.76 | Suggested schedule for plans | — | AHCCCS MCO Behavioral Health Outpatient |
| KentuckyAide or attendant (HHA, CNA, PCA, home care aide) · Kentucky Supports for Community Living (SCL) 1915(c) waiver | $7.37since 2025-01-01 | 15 min | $29.48 | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| ColoradoAide or attendant (HHA, CNA, PCA, home care aide) · Colorado HCBS waiver for persons who are elderly, blind or disabled (EBD) | $7.22since 2024-07-01 | 15 min | $28.88 | Paid by the state, outside plans | — | EBD, CMHS, BI, CIH (effective July 1, 20 |
| AlabamaAide or attendant (HHA, CNA, PCA, home care aide) · Alabama Intellectual Disabilities (ID) 1915(c) waiver (AL.0001; ADMH-DDD operated) | $7.15since 2024-01-05 | 15 min | $28.60 | Not classified | — | ADMH-DDD ID / LAH Waiver Procedure Codes |
| KansasAide or attendant (HHA, CNA, PCA, home care aide) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $6.93since 2022-07-01 | 15 min | $27.72 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| PennsylvaniaAide or attendant (HHA, CNA, PCA, home care aide) · Pennsylvania Medical Assistance (fee-for-service) | $6.84since 2022-05-01 | per unit | — | Plans negotiate; applies out of network | — | 52 Pa.B. 2297 Medical Assistance Program |
| New JerseyAide or attendant (HHA, CNA, PCA, home care aide) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $6.67since 2025-01-01 | 15 min | $26.68 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| OklahomaAide or attendant (HHA, CNA, PCA, home care aide) · Oklahoma ADvantage 1915(c) waiver (older adults and adults with physical disabilities) | $6.58since 2024-10-01 | 15 min | $26.32 | Paid by the state, outside plans | — | Reimbursement Rates for Services, ADvant |
| WisconsinAide or attendant (HHA, CNA, PCA, home care aide) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $6.26since 2026-01-01 | 15 min | $25.04 | Plans may pay no more | — | ForwardHealth max fee schedule: Home Car |
| South CarolinaAide or attendant (HHA, CNA, PCA, home care aide) · South Carolina Intellectual Disability and Related Disabilities (ID/RD) Waiver (SC.0237, DDSN-operated) | $6.25since 2025-11-01 | 15 min | $25.00 | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| GeorgiaAide or attendant (HHA, CNA, PCA, home care aide) · Georgia Elderly and Disabled Waiver (CCSP and SOURCE) | $5.52since 2024-07-01 | 15 min | $22.08 | Paid by the state, outside plans | — | Part II Policies and Procedures: EDWP - |
| MinnesotaAide or attendant (HHA, CNA, PCA, home care aide) · Minnesota Personal Care Assistance / Community First Services and Supports (PCA/CFSS) | $5.46since 2026-04-01 | 15 min | $21.84 | Paid by the state, outside plans | — | Long-Term Services and Supports Service |
| ArkansasAide or attendant (HHA, CNA, PCA, home care aide) · Arkansas Medicaid (fee-for-service) | $5.12since 2021-01-01 | 15 min | $20.48 | Not classified | — | Arkansas Medicaid Personal Care Services |
| LouisianaAide or attendant (HHA, CNA, PCA, home care aide) · Louisiana Medicaid (fee-for-service) | $4.63since 2022-04-01 | 15 min | $18.52 | Plans must pay at least this | — | Louisiana Medicaid EPSDT Personal Care S |
| TexasAgency provider · Texas Medicaid (fee-for-service, TMHP) | $4.57since 2025-09-01 | 15 min | $18.28 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Home |
| WashingtonAide or attendant (HHA, CNA, PCA, home care aide) · Washington ALTSA in-home personal care (home care agency) | $4.21since 2021-07-01 | 1/4 HR | — | Paid by the state, outside plans | — | DSHS ORM Home & Community Based Rates Hi |
| CaliforniaAide or attendant (HHA, CNA, PCA, home care aide) · California Medi-Cal (fee-for-service) | $3.62since 2026-10-01 | 15 min | $14.48 | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| MassachusettsAide or attendant (HHA, CNA, PCA, home care aide) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $2.72since 2026-01-01 | 15 min | $10.88 | Paid by the state, outside plans | — | Administrative Bulletin 25-29: 101 CMR 3 |
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 T1019?
It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $6.84. Illinois pays the most ($29.25 per hour) and Massachusetts the least ($2.72 per 15 min).
Which state pays the highest Medicaid rate for T1019?
Illinois, at $29.25 per hour ($29.25 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for T1019?
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 Personal care & attendant codes
S5125Attendant care services; per 15 minutes · 18 statesS5130Homemaker service, nos; per 15 minutes · 15 statesS5135Companion care, adult (e.g., iadl/adl); per 15 minutes · 12 statesT1020Personal care services, per diem · 11 statesS5136Companion care, adult (e.g., iadl/adl); per diem · 10 statesS9122Home health aide or certified nurse assistant · 8 statesS5116Home care training, non-family; per session · 6 statesS5126Attendant care services; per diem · 5 states
Track T1019 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.