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T1021 Medicaid reimbursement rates by state

Home health aide or certified nurse assistant, per visit. 13 state Medicaid programs publish a fee-for-service rate for T1021 at the aide level. Rates run from $4.70 in Maryland to $80.62 in Minnesota, with a median of $42.75.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
13
Median rate
$42.75units vary by state
Highest
$80.62Minnesota
Medicare (non-facility)
—not on the physician fee schedule

T1021 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MinnesotaAide or attendant (HHA, CNA, PCA, home care aide) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$80.62since 2026-01-01visit—Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
UtahAide or attendant (HHA, CNA, PCA, home care aide) · Utah Medicaid (fee-for-service, Traditional plan)$79.96since 2026-07-01visit—Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
New JerseyAide or attendant (HHA, CNA, PCA, home care aide) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$66.66since 2025-01-01visit—Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ArkansasAide or attendant (HHA, CNA, PCA, home care aide) · Arkansas Medicaid (fee-for-service)$66.63since 2025-05-16visit—Not classified—Arkansas Medicaid Home Health Fee Schedu
WashingtonAide or attendant (HHA, CNA, PCA, home care aide) · Washington Apple Health (Medicaid) fee-for-service$66.48since 2025-01-01visit—Plans must pay at least this—HCA Home health fee schedule (home-healt
ArizonaAide or attendant (HHA, CNA, PCA, home care aide) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$61.92since 2026-10-011 Unit per Visit—Plans expected to pay at least this—AHCCCS Final FFS Home and Community Base
New HampshireAide or attendant (HHA, CNA, PCA, home care aide) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$42.75since 2023-10-01visit—Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
WisconsinAide or attendant (HHA, CNA, PCA, home care aide) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$42.33since 2022-01-01visit—Plans may pay no more—ForwardHealth max fee schedule: Home Car
KansasAide or attendant (HHA, CNA, PCA, home care aide) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$40.00since 2005-12-01visit—Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
ConnecticutAide or attendant (HHA, CNA, PCA, home care aide) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$37.41since 2026-01-01visit—Not classified—CMAP fee schedule: Home Health Services
HawaiiAide or attendant (HHA, CNA, PCA, home care aide) · Hawaii Medicaid (Med-QUEST) fee-for-service$20.00since 2024-03-04visit—Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
FloridaAide or attendant (HHA, CNA, PCA, home care aide) · Florida Medicaid (fee-for-service)$18.04since 2026-01-01visit—Plans negotiate; applies out of network—Home Health Visit Services Fee Schedule
MarylandAide or attendant (HHA, CNA, PCA, home care aide) · Maryland Medicaid (fee-for-service, MDH)$4.70since 2024-07-0115 min$18.79Not classified—PT 07-25 Fiscal Year 2025 Rates for Nurs

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 T1021?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $42.75. Minnesota pays the most ($80.62 per visit) and Maryland the least ($4.70 per 15 min).

Which state pays the highest Medicaid rate for T1021?

Minnesota, at $80.62 per visit, effective 2026-01-01.

Do managed-care plans pay the same rate for T1021?

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 Home health codes

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