T2031 Medicaid reimbursement rates by state
Assisted living; waiver, per diem. 18 state Medicaid programs publish a fee-for-service rate for T2031 at the agency level. Rates run from $31.43 in Iowa to $445.29 in Utah, with a median of $104.44.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 18
- Median rate
- $104.44per day
- Highest
- $445.29Utah
- Medicare (non-facility)
- —not on the physician fee schedule
T2031 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 |
|---|---|---|---|---|---|---|
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $445.29⚠ over 3× mediansince 2016-07-01 | day | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| FloridaAgency provider · Florida iBudget waiver for people with developmental disabilities (APD) | $237.71since 2026-07-01 | day | — | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska 1915(c) home and community-based waivers (Senior and Disabilities Services) | $231.13since 2026-07-01 | day | — | Not classified | — | Chart of Waiver Services Rates (FY27) |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $222.08since 2025-07-01 | day | — | Not classified | — | Montana Healthcare Programs Fee Schedule |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington ALTSA residential care (adult family homes, assisted living, ARC/EARC) | $181.00since 2026-01-01 | day | — | Paid by the state, outside plans | — | DSHS ORM All HCS Rates |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Med-QUEST HCBS fee-for-service rates (QI memos) | $169.88since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Med-QUEST memo QI-2604A: 2026 |
| WyomingAgency provider · Wyoming DD waivers (Comprehensive and Supports, 1915(c)) | $152.66since 2024-04-01 | day | — | Not classified | — | SFY 2027 Comprehensive and Supports Waiv |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Money Follows the Person (TBI track) | $132.06since 2023-07-01 | day | — | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Supports for Community Living (SCL) 1915(c) waiver | $105.15since 2025-01-01 | day | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons who are elderly, blind or disabled (EBD) | $103.72since 2025-10-01 | day | — | Paid by the state, outside plans | — | EBD, CMHS, BI, CIH (effective October 1, |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada HCBS Waiver for the Frail Elderly (provider types 48, 57 and 59, fee-for-service) | $103.13since 2024-01-01 | day | — | Paid by the state, outside plans | — | Provider Type 59 Assisted Living Waiver |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid long-term services and supports, home and community based (1115 waiver, fee-for-service) | $94.00since 2026-10-01 | day | — | Paid by the state, outside plans | — | RI Medicaid Interactive Fee For Service |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota HOPE Waiver (1915(c) elderly and adults with physical disabilities; DHS Long Term Services and Supports) | $93.14since 2026-07-01 | day | — | Not classified | — | South Dakota Medicaid HOPE Waiver Fee Sc |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $91.10since 2026-07-01 | day | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Living Choices Assisted Living 1915(c) waiver | $86.73since 2024-10-18 | day | — | Paid by the state, outside plans | — | Arkansas Medicaid Living Choices Assiste |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma ADvantage 1915(c) waiver (older adults and adults with physical disabilities) | $82.64since 2024-10-01 | day | — | Paid by the state, outside plans | — | Reimbursement Rates for Services, ADvant |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $51.65since 2025-09-01 | day | — | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS Elderly 1915(c) waiver | $31.43since 2026-10-01 | day | — | Not classified | — | HCBS Habilitation and Waiver Fee Schedul |
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 T2031?
It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $104.44 per day. Utah pays the most ($445.29 per day) and Iowa the least ($31.43 per day).
Which state pays the highest Medicaid rate for T2031?
Utah, at $445.29 per day, effective 2016-07-01.
Do managed-care plans pay the same rate for T2031?
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.