T2027 Medicaid reimbursement rates by state
Specialized childcare, waiver; per 15 minutes. 10 state Medicaid programs publish a fee-for-service rate for T2027 at the agency level. Rates run from $0.80 in Wisconsin to $28.50 in South Carolina, with a median of $6.66.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $6.66units vary by state
- Highest
- $28.50South Carolina
- Medicare (non-facility)
- —not on the physician fee schedule
T2027 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 |
|---|---|---|---|---|---|---|
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Medically Complex Children (MCC) Waiver (SC.0675) | $28.50since 2025-11-01 | hour | $28.50 | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS Brain Injury (BI) 1915(c) waiver | $10.07since 2025-08-01 | 15 min | $40.28 | Not classified | — | HCBS Habilitation and Waiver Upper Rate |
| TexasAgency provider | $9.84since 2021-04-01 | hour | $9.84 | Paid by the state, outside plans | — | HHSC PFD YES payment rates (2021-yes-rat |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $7.96since 2004-07-01 | 15 min | $31.84 | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Big Sky Waiver for elderly and physically disabled adults (1915(c), fee-for-service) | $6.90since 2025-07-01 | 15 min | $27.60 | Not classified | — | Montana Healthcare Programs fee schedule |
| North CarolinaAide or attendant (HHA, CNA, PCA, home care aide) · North Carolina Community Alternatives Program for Children (CAP/C) | $6.41since 2026-08-01 | 15 min | $25.64 | Paid by the state, outside plans | — | NC Medicaid fee schedule 'CAP for Childr |
| WyomingAgency provider · Wyoming DD waivers (Comprehensive and Supports, 1915(c)) | $4.15since 2026-07-22 | 15 min | $16.60 | Not classified | — | DD Waiver Fee Schedule - Effective July |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $3.58since 2003-07-01 | 15 min | $14.32 | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver: Children's Extensive Support (CES) | $2.03since 2026-07-01 | 15 min | $8.12 | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| WisconsinAgency provider · Wisconsin Children's Long-Term Support (CLTS) Waiver (fee-for-service, statewide uniform rate schedule) | $0.80since 2025-01-01 | 15-min. | — | Paid by the state, outside plans | — | CLTS Waiver Statewide Uniform Rate Sched |
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 T2027?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $6.66. South Carolina pays the most ($28.50 per hour) and Wisconsin the least ($0.80 per 15-min.).
Which state pays the highest Medicaid rate for T2027?
South Carolina, at $28.50 per hour ($28.50 per hour), effective 2025-11-01.
Do managed-care plans pay the same rate for T2027?
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.