T2019 Medicaid reimbursement rates by state
Habilitation, supported employment, waiver; per 15 minutes. 11 state Medicaid programs publish a fee-for-service rate for T2019 at the self directed level. Rates run from $4.77 in Louisiana to $315.00 in Wisconsin, with a median of $10.84.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $10.84units vary by state
- Highest
- $315.00Wisconsin
- Medicare (non-facility)
- —not on the physician fee schedule
T2019 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 |
|---|---|---|---|---|---|---|
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Children's Long-Term Support (CLTS) Waiver (fee-for-service, statewide uniform rate schedule) | $315.00since 2025-01-01 | month | — | Paid by the state, outside plans | — | CLTS Waiver Statewide Uniform Rate Sched |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Persons with Brain Injury waiver (DHS-DRS Home Services Program, IL.0329) | $45.50since 2026-07-01 | hour | $45.50 | Plans must pay at least this | — | HSP Rates and Fees (Medicaid Waiver Serv |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $19.45since 2022-07-01 | each 15 min | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Supports for Community Living (SCL) 1915(c) waiver | $13.65since 2025-01-01 | 15 min | $54.60 | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $12.11since 2008-07-01 | 15 min | $48.44 | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| NebraskaAgency provider · Nebraska Medicaid (fee-for-service) | $10.84since 2026-07-01 | 15 min | $43.36 | Paid by the state, outside plans | — | NE Medicaid Specialized Add-On Services |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $7.72since 2026-07-01 | 15 min | $30.88 | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey DDD Community Care Program and Supports Program (IDD waiver services, one rate schedule) | $7.23since 2026-01-01 | 15 min | $28.92 | Paid by the state, outside plans | — | Quick Guide - FY26 DSP & Supervisor Rate |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $5.63since 2026-10-01 | 15 min | $22.52 | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia New Options Waiver (NOW) for people with IDD | $5.37since 2025-04-01 | 15 min | $21.48 | Paid by the state, outside plans | — | New Options Waiver Program-Q2-April 2025 |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Supports Waiver (SW, OCDD/OIDD 1915(c) waiver; employment and day supports) | $4.77since 2026-10-01 | 15 min | $19.08 | Paid by the state, outside plans | — | Supports Waiver rate and procedure code |
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 T2019?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $10.84. Wisconsin pays the most ($315.00 per month) and Louisiana the least ($4.77 per 15 min).
Which state pays the highest Medicaid rate for T2019?
Wisconsin, at $315.00 per month, effective 2025-01-01.
Do managed-care plans pay the same rate for T2019?
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.