T2035 Medicaid reimbursement rates by state
Utility services to support medical equipment and assistive.... 5 state Medicaid programs publish a fee-for-service rate for T2035 at the self directed level. Rates run from $57.14 in Maine to $5,000.00 in South Dakota, with a median of $312.15.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $312.15units vary by state
- Highest
- $5,000.00South Dakota
- Medicare (non-facility)
- —not on the physician fee schedule
T2035 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 DakotaAny qualified provider (rate does not vary by provider) · South Dakota CHOICES Waiver (1915(c) comprehensive developmental disabilities; DHS Division of Developmental Disabilities) | $5,000.00since 2025-06-01 | — | — | Not classified | — | South Dakota Medicaid CHOICES Waiver Fee |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Elderly and Disabled (E&D) 1915(c) waiver (incl. Community Transition Services) | $1,000.00since 2012-01-01 | — | — | Paid by the state, outside plans | — | MS DOM Elderly and Disabled Waiver fee s |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $312.15since 2022-07-01 | — | — | Paid by the state, outside plans | — | HCA Dental fee schedule (dental-20220701 |
| 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) | $200.00since 2025-11-18 | One time | — | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare Home and Community Based Services for Adults with Other Related Conditions (MBM Section 20 waiver, fee-for-service) | $57.14since 2026-01-01 | Monthly - up to | — | Not classified | — | MaineCare Section 20 Other Related Condi |
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 T2035?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $312.15. South Dakota pays the most ($5,000.00) and Maine the least ($57.14 per Monthly - up to).
Which state pays the highest Medicaid rate for T2035?
South Dakota, at $5,000.00, effective 2025-06-01.
Do managed-care plans pay the same rate for T2035?
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.