T1031 Medicaid reimbursement rate by state (2026)
Nursing care, in the home, by licensed practical nurse. Medicaid pays a median of $46.49 for T1031 across 12 states, from $8.89 in Maryland to $169.09 in Utah.
- States publishing
- 12
- National median
- $46.49units vary by state
- Lowest
- $8.89Maryland
- Highest
- $169.09Utah
What does Medicaid pay for T1031?
12 state Medicaid programs publish a fee-for-service rate for T1031. The national median is $46.49 (units differ between states). Utah pays the most, $169.09 per day, and Maryland the least, $8.89 per 15 min, a 19.0x spread.
T1031 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 12 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for T1031?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $46.49. Utah pays the most ($169.09 per day) and Maryland the least ($8.89 per 15 min).
Which state pays the highest Medicaid rate for T1031?
Utah, at $169.09 per day, effective 2026-07-01.
Do managed-care plans pay the same rate for T1031?
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 workspace shows the rule for each state, cited to the contract or statute.