Early intervention services for infants and toddlers: Medicaid rates by state

A billing code alone doesn't make a fair comparison: states bill early intervention services for infants and toddlers under different codes, units and provider types. This benchmark lines up one comparable rate per state.

• Provider level. States are compared at the same provider level wherever the schedule distinguishes one. Rates for other levels on file (any qualified provider) are kept separate, never mixed into this ranking.
• Unit. Of the 7 states, 5 publish their headline rate per 15 min, 1 per hour and 1 per 30 min. The ranking converts every time-based rate to an hour of service, so states that bill by the 15 minutes and by the hour compare directly.
• Variants. 7 of the 7 states publish more than one rate for this service (by modifier, program, setting or provider type); the headline rate is the one that matches the comparison, and the workspace lists every variant.
• Depth. 19,789 rates for this service are on file across all states, versions and provider levels; this page shows one headline rate per state.

The highest-paying state, New Mexico, pays $154.00 per hour; the lowest, Connecticut, pays $48.00 per hour, a 3.2x gap. 3 of the 7 states pay above the median of $85.00 per hour. Common reasons rates for other services spread this way:

• Some states tie their rates to a percentage of a Medicare amount; others keep a schedule of their own that changes only when the legislature funds an increase.
• Each state sets its own fee schedule and updates it on its own budget cycle, so two states can price the same service from different base years.
• Rate studies, settlements and targeted increases for workforce shortages move individual services out of step with the rest of a state's schedule.

Billing notes

This service is billed in the unit the state's schedule defines.