T1999 Medicaid reimbursement rates by state
Miscellaneous therapeutic items and supplies. 6 state Medicaid programs publish a fee-for-service rate for T1999 at the self directed level. Rates run from $3.00 in Washington to $5,000.00 in Minnesota, with a median of $224.76.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $224.76units vary by state
- Highest
- $5,000.00Minnesota
- Medicare (non-facility)
- —not on the physician fee schedule
T1999 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 |
|---|---|---|---|---|---|---|
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Brain Injury (BI) waiver | $5,000.00since 2026-01-01 | Decremental | — | Paid by the state, outside plans | — | Long-Term Services and Supports Service |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Supports for Community Living (SCL) 1915(c) waiver | $2,178.00since 2025-01-01 | Per Plan of Care Year | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $438.00since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $11.51since 2021-08-30 | Per test | — | Plans negotiate; applies out of network | — | 52 Pa.B. 1430 Medical Assistance Program |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $4.50since 2008-07-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Supplies |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $3.00since 2021-07-01 | month | — | Plans negotiate; applies out of network | — | HCA Pharmacy special services fee schedu |
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 T1999?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $224.76. Minnesota pays the most ($5,000.00 per Decremental) and Washington the least ($3.00 per month).
Which state pays the highest Medicaid rate for T1999?
Minnesota, at $5,000.00 per Decremental, effective 2026-01-01.
Do managed-care plans pay the same rate for T1999?
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.