T2033 Medicaid reimbursement rates by state
Residential care, not otherwise specified (nos), waiver. 10 state Medicaid programs publish a fee-for-service rate for T2033 at the family caregiver level. Rates run from $40.50 in Washington to $362.88 in Colorado, with a median of $186.06.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $186.06units vary by state
- Highest
- $362.88Colorado
- Medicare (non-facility)
- —not on the physician fee schedule
T2033 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 |
|---|---|---|---|---|---|---|
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with a brain injury (BI) | $362.88since 2026-07-01 | day | — | Paid by the state, outside plans | — | EBD, CMHS, BI, CIH (effective July 1, 20 |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Comprehensive Supports Waiver (COMP) for people with IDD | $341.79since 2025-04-01 | 1 Day | — | Paid by the state, outside plans | — | Comprehensive Support Waiver Program Cha |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $300.00since 2024-05-01 | day | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia developmental disability waivers (Building Independence, Family and Individual Supports, Community Living) | $253.74since 2026-07-01 | 344 billing days Per Diem | — | Paid by the state, outside plans | — | DMAS Developmental Disabilities Waiver S |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Acquired Brain Injury (ABI, acute) 1915(c) waiver | $225.00since 2025-01-01 | day | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $147.12since 2025-09-01 | day | — | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| LouisianaPaid family caregiver / legally responsible individual · Louisiana New Opportunities Waiver (NOW, OCDD/OIDD 1915(c) waiver for people with intellectual/developmental disabilities) | $139.27since 2026-10-01 | day | — | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| IndianaPaid family caregiver / legally responsible individual · Indiana Community Integration and Habilitation (CIH) Waiver for people with IDD | $99.71since 2023-07-01 | day | — | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $91.28since 2026-10-01 | day | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington ALTSA residential care (adult family homes, assisted living, ARC/EARC) | $40.50since 2019-07-01 | day | — | Paid by the state, outside plans | — | DSHS ORM Home & Community Based Rates Hi |
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 T2033?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $186.06. Colorado pays the most ($362.88 per day) and Washington the least ($40.50 per day).
Which state pays the highest Medicaid rate for T2033?
Colorado, at $362.88 per day, effective 2026-07-01.
Do managed-care plans pay the same rate for T2033?
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.