T2041 Medicaid reimbursement rates by state
Supports brokerage, self-directed, waiver; per 15 minutes. 9 state Medicaid programs publish a fee-for-service rate for T2041 at the case manager level. Rates run from $8.00 in Wisconsin to $443.74 in Florida, with a median of $18.06.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 9
- Median rate
- $18.06units vary by state
- Highest
- $443.74Florida
- Medicare (non-facility)
- —not on the physician fee schedule
T2041 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 |
|---|---|---|---|---|---|---|
| FloridaCase manager / support coordinator · Florida iBudget waiver for people with developmental disabilities (APD) | $443.74since 2026-07-01 | month | — | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| North CarolinaCase manager / support coordinator · North Carolina Community Alternatives Program for Children (CAP/C) | $377.00since 2025-10-01 | month | — | Paid by the state, outside plans | — | NC Medicaid fee schedule 'CAP for Childr |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Big Sky Waiver for elderly and physically disabled adults (1915(c), fee-for-service) | $187.38since 2025-07-01 | month | — | Not classified | — | Montana Healthcare Programs fee schedule |
| New JerseyCase manager / support coordinator · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $167.00since 2025-01-01 | 15 min | $668.00 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| IowaIndependent (non-agency) provider · Iowa HCBS AIDS/HIV 1915(c) waiver | $18.06since 2025-08-01 | hour | $18.06 | Not classified | — | HCBS Habilitation and Waiver Upper Rate |
| MaineSelf-directed worker (hired by the person or family) · MaineCare Home and Community Based Services for Adults with Brain Injury (MBM Section 18 waiver, fee-for-service) | $17.95since 2026-01-01 | 15 min | $71.80 | Not classified | — | MaineCare Section 18 Brain Injury Waiver |
| TexasAgency provider | $15.85since 2021-04-01 | hour | $15.85 | Paid by the state, outside plans | — | HHSC PFD YES payment rates (2021-yes-rat |
| MissouriAgency provider · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $10.54since 2022-07-01 | 15 min | $42.16 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Children's Long-Term Support (CLTS) Waiver (fee-for-service, statewide uniform rate schedule) | $8.00since 2025-01-01 | 15-min. | — | 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 T2041?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $18.06. Florida pays the most ($443.74 per month) and Wisconsin the least ($8.00 per 15-min.).
Which state pays the highest Medicaid rate for T2041?
Florida, at $443.74 per month, effective 2026-07-01.
Do managed-care plans pay the same rate for T2041?
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.