T1025 Medicaid reimbursement rates by state
Intensive, extended multidisciplinary services provided in a.... 8 state Medicaid programs publish a fee-for-service rate for T1025. Rates run from $58.00 in Arkansas to $1,031.00 in South Carolina, with a median of $308.57.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $308.57units vary by state
- Highest
- $1,031.00South Carolina
- Medicare (non-facility)
- —not on the physician fee schedule
T1025 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 |
|---|---|---|---|---|---|---|
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $1,031.00⚠ over 3× mediansince 2025-07-01 | day | — | Not classified | — | SCDHHS Pediatric HIV Clinic Fee Schedule |
| TexasAny qualified provider (rate does not vary by provider) · Texas Prescribed Pediatric Extended Care Centers (medical day care for children) | $481.07since 2026-09-01 | visit (4.25 hours or more = 1 unit) | — | Not classified | — | HHSC PFD Prescribed Pediatric Extended C |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $365.68since 2022-07-01 | day | — | Paid by the state, outside plans | — | Louisiana Medicaid Pediatric Day Health |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $316.40since 2025-05-01 | day | — | Not classified | — | DOM Comprehensive Fee Schedule, June 202 |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $300.73since 2026-07-01 | day | — | Paid by the state, outside plans | — | Prescribed Pediatric Extended Care Servi |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $201.53since 2025-08-28 | day | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Prescribed Pe |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $198.84since 2008-01-01 | day | — | Not classified | — | CMAP fee schedule: Clinic - Rehabilitati |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $58.00since 2022-10-20 | day | — | Not classified | — | Arkansas Medicaid Early Intervention Day |
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 T1025?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $308.57. South Carolina pays the most ($1,031.00 per day) and Arkansas the least ($58.00 per day).
Which state pays the highest Medicaid rate for T1025?
South Carolina, at $1,031.00 per day, effective 2025-07-01.
Do managed-care plans pay the same rate for T1025?
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.