T2016 Medicaid reimbursement rates by state
Habilitation, residential, waiver; per diem. 21 state Medicaid programs publish a fee-for-service rate for T2016 at the agency level. Rates run from $3.50 in Alabama to $999.00 in Minnesota, with a median of $266.34.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 21
- Median rate
- $266.34units vary by state
- Highest
- $999.00Minnesota
- Medicare (non-facility)
- —not on the physician fee schedule
T2016 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 Health Care Programs: Medical Assistance (fee-for-service) | $999.00⚠ over 3× mediansince 2015-07-01 | day | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| UtahAny qualified provider (rate does not vary by provider) · Utah Acquired Brain Injury 1915(c) waiver | $601.83since 2026-07-01 | day | — | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska 1115 Behavioral Health waiver services | $579.90since 2026-07-01 | day | — | Not classified | — | Chart of (Behavioral Health Reform) 1115 |
| FloridaAny qualified provider (rate does not vary by provider) · Florida iBudget waiver for people with developmental disabilities (APD) | $408.51since 2026-07-01 | day | — | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Developmental Disabilities 1915(c) Waiver (NM.0173) | $370.12since 2026-07-01 | day | — | Paid by the state, outside plans | — | Developmental Disabilities Waiver Fee Sc |
| WyomingAgency provider · Wyoming DD waivers (Comprehensive and Supports, 1915(c)) | $295.82since 2026-07-22 | day | — | Not classified | — | DD Waiver Fee Schedule - Effective July |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Supports for Community Living (SCL) 1915(c) waiver | $284.57since 2025-01-01 | day | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Community Integration and Habilitation (CIH) Waiver for people with IDD | $280.27since 2023-07-01 | day | — | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Intellectual Disability and Related Disabilities (ID/RD) Waiver (SC.0237, DDSN-operated) | $278.77since 2025-11-01 | day | — | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Comprehensive Waiver (DMH Division of DD, 1915(c)) | $267.17since 2024-07-01 | day | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Comprehensive |
| MontanaAny qualified provider (rate does not vary by provider) · Montana HCBS waiver for adults with severe disabling mental illness (1915(c), fee-for-service) | $266.34since 2026-07-01 | day | — | Not classified | — | Montana Medicaid Fee Schedule - HCBS for |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island developmental disabilities services (BHDDH, paid fee-for-service under the 1115 waiver) | $246.00since 2011-07-01 | day | — | Paid by the state, outside plans | — | RI Medicaid Interactive Fee For Service |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado post-eligibility treatment of income amounts (residential room and board, personal needs allowance) | $239.09since 2026-07-01 | day | — | Paid by the state, outside plans | — | DD PETI - Denver (8/26) |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota CHOICES Waiver (1915(c) comprehensive developmental disabilities; DHS Division of Developmental Disabilities) | $228.58since 2026-06-01 | day | — | Not classified | — | South Dakota Medicaid CHOICES Waiver Fee |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii DOH DDD Medicaid I/DD waiver (1915(c) HI.0013) | $188.62since 2025-07-01 | day | — | Paid by the state, outside plans | — | DOH DDD I/DD Waiver Schedule of Rates (m |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada HCBS Waiver for Individuals with Intellectual and Developmental Disabilities (provider type 38, fee-for-service) | $162.95since 2024-04-01 | day | — | Paid by the state, outside plans | — | Provider Type 38, Waiver for Individuals |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Intellectual Disabilities/Developmental Disabilities (ID/DD) 1915(c) waiver | $138.18since 2023-07-01 | day | — | Paid by the state, outside plans | — | MS DOM ID/DD Waiver fee schedule (Intell |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Residential Options Waiver (ROW, OCDD/OIDD 1915(c) waiver) | $84.91since 2026-10-01 | day | — | Paid by the state, outside plans | — | Residential Options Waiver rate and proc |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware DDDS Lifespan 1915(c) HCBS waiver | $41.92since 2025-01-01 | hour | — | Paid by the state, outside plans | — | DDDS Medicaid HCBS 1915(c) Lifespan Waiv |
| MaineAgency provider · MaineCare Home and Community Based Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder (MBM Section 21 waiver, fee-for-service) | $34.64since 2026-01-01 | hour | $34.64 | Not classified | — | MaineCare Section 21 ID/ASD Comprehensiv |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Intellectual Disabilities (ID) 1915(c) waiver (AL.0001; ADMH-DDD operated) | $3.50since 2025-10-01 | day | — | Not classified | — | ID Waiver renewal AL.0001.R10.00 (effect |
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 T2016?
It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $266.34. Minnesota pays the most ($999.00 per day) and Alabama the least ($3.50 per day).
Which state pays the highest Medicaid rate for T2016?
Minnesota, at $999.00 per day, effective 2015-07-01.
Do managed-care plans pay the same rate for T2016?
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
T1023Screening to determine the appropriateness of consideration... · 36 statesT2021Day habilitation, waiver; per 15 minutes · 27 statesT2019Habilitation, supported employment, waiver; per 15 minutes · 26 statesH2023Supported employment, per 15 minutes · 24 statesH0045Respite care services, not in the home, per diem · 23 statesS5100Day care services, adult; per 15 minutes · 22 statesT2033Residential care, not otherwise specified (nos), waiver · 22 statesT2015Habilitation, prevocational, waiver; per hour · 19 statesT2017Habilitation, residential, waiver; 15 minutes · 18 statesH0043Supported housing, per diem · 17 statesH2025Ongoing support to maintain employment, per 15 minutes · 17 statesT2020Day habilitation, waiver; per diem · 14 states
Track T2016 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.