T2018 Medicaid reimbursement rates by state
Habilitation, supported employment, waiver; per diem. 8 state Medicaid programs publish a fee-for-service rate for T2018 at the clinical nurse specialist level. Rates run from $25.58 in Nevada to $3,692.34 in Iowa, with a median of $238.29.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $238.29units vary by state
- Highest
- $3,692.34Iowa
- Medicare (non-facility)
- —not on the physician fee schedule
T2018 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 |
|---|---|---|---|---|---|---|
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS Brain Injury (BI) 1915(c) waiver | $3,692.34since 2025-08-01 | Monthly Limit | — | Not classified | — | HCBS Habilitation and Waiver Upper Rate |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Family Support 360 Waiver (1915(c) developmental disabilities, in-home supports) | $2,000.00since 2025-07-01 | month | — | Not classified | — | South Dakota Medicaid Family Support 360 |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $490.00since 2026-09-01 | Lump Sum | — | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Children's Long-Term Support (CLTS) Waiver (fee-for-service, statewide uniform rate schedule) | $420.00since 2025-01-01 | month | — | Paid by the state, outside plans | — | CLTS Waiver Statewide Uniform Rate Sched |
| UtahAny qualified provider (rate does not vary by provider) · Utah Acquired Brain Injury 1915(c) waiver | $56.57since 2026-07-01 | day | — | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $36.59since 2025-01-01 | day | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $32.15since 2026-10-01 | day | — | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada ADSD Developmental Services regional-center provider rates (state program) | $25.58since 2018-06-01 | hour | — | Not classified | — | ADSD Developmental Services Attachment 2 |
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 T2018?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $238.29. Iowa pays the most ($3,692.34 per Monthly Limit) and Nevada the least ($25.58 per hour).
Which state pays the highest Medicaid rate for T2018?
Iowa, at $3,692.34 per Monthly Limit, effective 2025-08-01.
Do managed-care plans pay the same rate for T2018?
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.