T1020 Medicaid reimbursement rates by state
Personal care services, per diem. 7 state Medicaid programs publish a fee-for-service rate for T1020 at the aide level. Rates run from $3.00 in Virginia to $1,300.00 in Illinois, with a median of $68.97.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $68.97units vary by state
- Highest
- $1,300.00Illinois
- Medicare (non-facility)
- —not on the physician fee schedule
T1020 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 Medically Fragile, Technology Dependent waiver (IL.0278) and EPSDT in-home nursing, operated by UIC-DSCC | $1,300.00since 2025-01-01 | Client Day | — | Not classified | — | Medically Fragile Technology Dependent ( |
| ArizonaAide or attendant (HHA, CNA, PCA, home care aide) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $264.72since 2026-10-01 | — | — | Suggested schedule for plans | — | AHCCCS MCO Fee Schedule Final MCO Behavi |
| WashingtonAide or attendant (HHA, CNA, PCA, home care aide) · Washington ALTSA residential care (adult family homes, assisted living, ARC/EARC) | $264.53⚠ over 3× mediansince 2026-01-01 | day | — | Paid by the state, outside plans | — | DSHS ORM All HCS Rates |
| GeorgiaAide or attendant (HHA, CNA, PCA, home care aide) · Georgia Elderly and Disabled Waiver (CCSP and SOURCE) | $68.97since 2024-07-01 | day | — | Paid by the state, outside plans | — | Part II Policies and Procedures: EDWP - |
| IndianaAide or attendant (HHA, CNA, PCA, home care aide) · Indiana Family Supports Waiver (FSW) for people with IDD | $38.36since 2023-07-01 | hour | $38.36 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| FloridaAide or attendant (HHA, CNA, PCA, home care aide) · Florida Medicaid (fee-for-service) | $15.58since 2026-01-01 | day | — | Plans negotiate; applies out of network | — | Assistive Care Services Fee Schedule (Up |
| VirginiaAide or attendant (HHA, CNA, PCA, home care aide) · Virginia Medicaid (fee-for-service, DMAS) | $3.00since 2022-07-01 | day | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
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 T1020?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $68.97. Illinois pays the most ($1,300.00 per Client Day) and Virginia the least ($3.00 per day).
Which state pays the highest Medicaid rate for T1020?
Illinois, at $1,300.00 per Client Day, effective 2025-01-01.
Do managed-care plans pay the same rate for T1020?
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.