T2040 Medicaid reimbursement rates by state
Financial management, self-directed, waiver; per 15 minutes. 11 state Medicaid programs publish a fee-for-service rate for T2040 at the self directed level. Rates run from $36.75 in Wisconsin to $157.89 in Missouri, with a median of $77.51.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $77.51units vary by state
- Highest
- $157.89Missouri
- Medicare (non-facility)
- —not on the physician fee schedule
T2040 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 |
|---|---|---|---|---|---|---|
| MissouriSelf-directed worker (hired by the person or family) · Missouri Independent Living Waiver (DHSS, 1915(c)) | $157.89since 2023-07-01 | 15 min | $631.56 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Independent L |
| KentuckySelf-directed worker (hired by the person or family) · Kentucky Acquired Brain Injury (ABI, acute) 1915(c) waiver | $121.00since 2025-01-01 | month | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina CAP consumer-directed option (CAP/CD) | $107.42since 2025-10-01 | month | — | Paid by the state, outside plans | — | NC Medicaid fee schedule 'CAP- Consumer |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado Community First Choice (1915(k) attendant services) | $103.21since 2025-07-01 | month | — | Paid by the state, outside plans | — | Community First Choice Rates Effective 7 |
| GeorgiaSelf-directed worker (hired by the person or family) · Georgia Elderly and Disabled Waiver (CCSP and SOURCE) | $95.00since 2024-07-01 | per unit | — | Paid by the state, outside plans | — | Part II Policies and Procedures: EDWP - |
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS AIDS/HIV 1915(c) waiver | $77.51since 2025-08-01 | Per Member Per Month | — | Not classified | — | HCBS Habilitation and Waiver Upper Rate |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Money Follows the Person (CIH track) | $50.00since 2026-01-01 | hour | $50.00 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| ArizonaSelf-directed worker (hired by the person or family) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $49.40since 2026-10-01 | 15 min | $197.60 | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Alternative Care (AC, state-funded program for people 65+) | $44.00since 2026-01-01 | Per Print | — | Not classified | — | Long-Term Services and Supports Service |
| ConnecticutIndependent (non-agency) provider · Connecticut DDS HCBS waivers - self-directed (self-hire) rates | $40.42since 2024-07-01 | hour | $40.42 | Not classified | — | DDS Funding Guidelines (version 2025-04- |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Children's Long-Term Support (CLTS) Waiver (fee-for-service, statewide uniform rate schedule) | $36.75since 2025-01-01 | month | — | 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 T2040?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $77.51. Missouri pays the most ($157.89 per 15 min) and Wisconsin the least ($36.75 per month).
Which state pays the highest Medicaid rate for T2040?
Missouri, at $157.89 per 15 min ($631.56 per hour), effective 2023-07-01.
Do managed-care plans pay the same rate for T2040?
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.