T1024 Medicaid reimbursement rates by state
Evaluation and treatment by an integrated. 14 state Medicaid programs publish a fee-for-service rate for T1024 at the agency level. Rates run from $23.59 in Ohio to $1,010.35 in New Jersey, with a median of $89.27.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 14
- Median rate
- $89.27units vary by state
- Highest
- $1,010.35New Jersey
- Medicare (non-facility)
- —not on the physician fee schedule
T1024 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 JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $1,010.35⚠ over 3× mediansince 2026-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $473.22⚠ over 3× mediansince 2008-10-01 | — | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| VermontAgency provider · Vermont Medicaid (fee-for-service, DVHA) | $422.00⚠ over 3× mediansince 2009-09-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $395.34⚠ over 3× mediansince 2024-01-01 | — | — | Paid by the state, outside plans | — | 2026 Fee Schedule - Covered Procedures R |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $387.21⚠ over 3× mediansince 2008-01-01 | — | — | Not classified | — | CMAP fee schedule: Clinic - Rehabilitati |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $113.98since 2024-07-01 | — | — | Not classified | — | SCDHHS Developmental Evaluation Center F |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $112.67since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $65.87since 2018-07-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $48.12since 2024-07-01 | — | — | Plans negotiate; applies out of network | — | Rates for Early Intervention Program Ser |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $42.19since 2024-01-01 | — | — | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $37.50since 2023-01-01 | 30-minute unit | $75.00 | Plans negotiate; applies out of network | — | Early Intervention Services Fee Schedule |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $29.58since 2026-07-01 | encounter | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $24.30since 2004-01-01 | — | — | Paid by the state, outside plans | — | ForwardHealth max fee schedule: School B |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid School Program (school-based services) | $23.59since 2020-06-12 | — | — | Paid by the state, outside plans | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
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 T1024?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $89.27. New Jersey pays the most ($1,010.35) and Ohio the least ($23.59).
Which state pays the highest Medicaid rate for T1024?
New Jersey, at $1,010.35, effective 2026-01-01.
Do managed-care plans pay the same rate for T1024?
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.