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T2034 Medicaid reimbursement rates by state

Crisis intervention, waiver; per diem. 9 state Medicaid programs publish a fee-for-service rate for T2034. Rates run from $9.32 in Maine to $1,050.00 in Hawaii, with a median of $490.25.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
9
Median rate
$490.25units vary by state
Highest
$1,050.00Hawaii
Medicare (non-facility)
—not on the physician fee schedule

T2034 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii DOH DDD Medicaid I/DD waiver (1915(c) HI.0013)$1,050.00since 2025-07-01day—Paid by the state, outside plans—DOH DDD I/DD Waiver Schedule of Rates (m
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$862.19since 2025-01-01day—Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Intellectual Disabilities/Developmental Disabilities (ID/DD) 1915(c) waiver$663.88since 2026-01-01day—Paid by the state, outside plans—MS DOM ID/DD Waiver fee schedule (Intell
VermontAny qualified provider (rate does not vary by provider) · Vermont Brain Injury Program (TBI; DAIL ASD), Rehab/Long Term (U8) and Mental Health Funded (HI/UD)$643.05since 2025-07-011 day—Not classified—DAIL Adult Services Division - Billing C
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Developmental Disabilities 1915(c) Waiver (NM.0173)$490.25since 2026-07-01day—Paid by the state, outside plans—Developmental Disabilities Waiver Fee Sc
AlaskaAny qualified provider (rate does not vary by provider) · Alaska 1115 Behavioral Health waiver services$191.80since 2024-11-08Per Call Out—Not classified—Chart of (Behavioral Health Reform) 1115
WyomingAny qualified provider (rate does not vary by provider) · Wyoming DD waivers (Comprehensive and Supports, 1915(c))$180.00since 2014-04-01day—Not classified—Wyoming Medicaid Downloadable Fee Schedu
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$31.06since 2021-07-01day—Paid by the state, outside plans—DMAS procedure fee file hcpcmedical.csv
MaineAny qualified provider (rate does not vary by provider) · MaineCare Home and Community Based Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder (MBM Section 21 waiver, fee-for-service)$9.32since 2026-01-0115 min$37.28Not classified—MaineCare Section 21 ID/ASD Comprehensiv

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 T2034?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $490.25. Hawaii pays the most ($1,050.00 per day) and Maine the least ($9.32 per 15 min).

Which state pays the highest Medicaid rate for T2034?

Hawaii, at $1,050.00 per day, effective 2025-07-01.

Do managed-care plans pay the same rate for T2034?

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.

Related IDD services codes

Track T2034 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state