T2021 Medicaid reimbursement rates by state
Day habilitation, waiver; per 15 minutes. 11 state Medicaid programs publish a fee-for-service rate for T2021 at the physician psychologist level. Rates run from $2.35 in Indiana to $174.01 in California, with a median of $8.76.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $8.76units vary by state
- Highest
- $174.01California
- Medicare (non-facility)
- —not on the physician fee schedule
T2021 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 |
|---|---|---|---|---|---|---|
| CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Drug Medi-Cal in State Plan (non-ODS) counties | $174.01⚠ over 3× mediansince 2026-07-01 | 15 min | $696.04 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| NebraskaAgency provider · Nebraska Medicaid (fee-for-service) | $39.69since 2026-07-01 | hour | $39.69 | Paid by the state, outside plans | — | NE Medicaid Specialized Add-On Services |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $30.22⚠ over 3× mediansince 2026-07-01 | 15 min | $120.88 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $25.00since 2013-11-01 | 15 min | $100.00 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $12.14since 2022-07-01 | 15 min | $48.56 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| FloridaAny qualified provider (rate does not vary by provider) · Florida iBudget waiver for people with developmental disabilities (APD) | $8.76since 2026-07-01 | 15 min | $35.04 | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey DDD Supports Program (SP) for adults with IDD living with family or independently | $7.96since 2026-01-01 | 15 min | $31.84 | Paid by the state, outside plans | — | Quick Guide - FY26 DSP & Supervisor Rate |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $5.66since 2026-07-01 | 15 min | $22.64 | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Michelle P. 1915(c) waiver | $3.62since 2025-01-01 | 15 min | $14.48 | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana New Opportunities Waiver (NOW, OCDD/OIDD 1915(c) waiver for people with intellectual/developmental disabilities) | $2.48since 2025-11-18 | 15 min | $9.92 | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Traumatic Brain Injury (TBI) Waiver | $2.35since 2023-07-01 | 15 min | $9.40 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
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 T2021?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $8.76. California pays the most ($174.01 per 15 min) and Indiana the least ($2.35 per 15 min).
Which state pays the highest Medicaid rate for T2021?
California, at $174.01 per 15 min ($696.04 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for T2021?
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.