T1023 Medicaid reimbursement rates by state
Screening to determine the appropriateness of consideration.... 38 state Medicaid programs publish a fee-for-service rate for T1023 at the physician psychologist level. Rates run from $7.38 in Idaho to $2,698.45 in Maine, with a median of $60.75.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 38
- Median rate
- $60.75units vary by state
- Highest
- $2,698.45Maine
- Medicare (non-facility)
- —not on the physician fee schedule
T1023 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 |
|---|---|---|---|---|---|---|
| MaineAny qualified provider (rate does not vary by provider) · MaineCare Home and Community Based Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder (MBM Section 21 waiver, fee-for-service) | $2,698.45⚠ over 3× mediansince 2026-01-01 | encounter | — | Not classified | — | MaineCare Section 21 ID/ASD Comprehensiv |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $709.55⚠ over 3× mediansince 2024-07-01 | — | — | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – PRP and Speci |
| North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid home and community-based services fee schedule (waiver and state plan HCBS codes) | $571.47⚠ over 3× mediansince 2026-07-01 | — | — | Not classified | — | ND Medicaid HCBS Services Fee Schedule ( |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $350.00⚠ over 3× mediansince 2013-01-01 | — | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| VermontAgency provider · Vermont Medicaid (fee-for-service, DVHA) | $350.00⚠ over 3× mediansince 2010-01-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $306.17⚠ over 3× mediansince 2023-07-01 | — | — | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service | $259.28⚠ over 3× mediansince 2023-03-01 | — | — | Not classified | — | REFRP00178CSV - Medical Fee Schedule Rep |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $176.74since 2023-07-01 | — | — | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $150.62since 2010-03-01 | — | — | Plans must pay at least this | — | Provider Type 34, Therapy Reimbursement |
| AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid behavioral health services (State Plan, Division of Behavioral Health) | $149.40since 2026-07-01 | 1 screening | — | Not classified | — | Fee Schedule - Independent Psychologists |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $120.00since 2021-01-01 | — | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $110.75since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | HCA Specialized mental health fee schedu |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $106.11since 2024-07-01 | unit | — | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Community First Services and Supports (CFSS) | $100.00since 2026-04-01 | Per Session | — | Paid by the state, outside plans | — | Long-Term Services and Supports Service |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $94.49since 2023-10-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Maternal Infant Health Program, Oc |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $89.09since 2025-10-01 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Local Health D |
| West VirginiaPhysician or licensed psychologist (incl. BCBA-D) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $75.00since 2023-04-01 | encounter | — | Plans must pay at least this | — | Licensed Behavioral Health Centers (LBHC |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $66.00since 2016-07-01 | — | — | Not classified | — | CMAP fee schedule: Special Services 7/1/ |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia developmental disability waivers (Building Independence, Family and Individual Supports, Community Living) | $62.30since 2026-07-01 | hour | $62.30 | Paid by the state, outside plans | — | DMAS Developmental Disabilities Waiver S |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid Early Intervention (Part C) services (fee-for-service) | $59.19since 2026-10-01 | — | — | Plans must pay at least this | — | RI Medicaid Interactive Fee For Service |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $53.98since 2023-05-12 | encounter | — | Plans must pay at least this | — | ODMHSAS PICIS 'Rates and Codes for Agenc |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $45.88since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Rates for Early Intervention Program Ser |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $44.29since 2026-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Tuber |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $44.01since 2026-01-01 | one time | — | Plans negotiate; applies out of network | — | Community Behavioral Health Services Fee |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $30.00since 2026-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| OhioPhysician or licensed psychologist (incl. BCBA-D) · Ohio Medicaid (fee-for-service) | $30.00since 2024-01-01 | encounter | — | Plans expected to pay at least this | — | ODM Behavioral Health Coding Workbook (1 |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $29.18since 2026-10-01 | — | — | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Developmental Disabilities 1915(c) Waiver (NM.0173) | $28.37since 2026-07-01 | 15 min | $113.48 | Paid by the state, outside plans | — | Developmental Disabilities Waiver Fee Sc |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $20.00since 2012-06-11 | — | — | Paid by the state, outside plans | — | Iowa Medicaid fee schedule #57 INFANT TO |
| PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service) | $20.00since 2021-09-01 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $18.90since 2003-10-01 | — | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, June 202 |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $13.04since 2021-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $12.56since 2019-07-01 | — | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Psy |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal school-based services (Local Educational Agency) | $12.34since 2026-10-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $12.00since 2022-10-20 | — | — | Not classified | — | Arkansas Medicaid Early Intervention Day |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $10.00since 2019-03-20 | — | — | Plans must pay at least this | — | Louisiana Medicaid EPSDT Health Services |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Medically Complex Children (MCC) Waiver (SC.0675) | $7.50since 2025-11-01 | hour | $7.50 | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $7.38since 2025-09-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
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 T1023?
It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $60.75. Maine pays the most ($2,698.45 per encounter) and Idaho the least ($7.38).
Which state pays the highest Medicaid rate for T1023?
Maine, at $2,698.45 per encounter, effective 2026-01-01.
Do managed-care plans pay the same rate for T1023?
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 IDD services codes
T2021Day habilitation, waiver; per 15 minutes · 29 statesT2019Habilitation, supported employment, waiver; per 15 minutes · 28 statesH2023Supported employment, per 15 minutes · 26 statesT2033Residential care, not otherwise specified (nos), waiver · 24 statesH0045Respite care services, not in the home, per diem · 23 statesT2016Habilitation, residential, waiver; per diem · 23 statesT2015Habilitation, prevocational, waiver; per hour · 20 statesH2025Ongoing support to maintain employment, per 15 minutes · 19 statesT2017Habilitation, residential, waiver; 15 minutes · 19 statesH0043Supported housing, per diem · 18 statesT2020Day habilitation, waiver; per diem · 14 statesS5105Day care services, center-based · 11 states
Track T1023 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.