The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for T1019. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
23
Median % of Medicare
--
Rate range
$3.62 - $45.00
T1019 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $5.12 | -- | -- | 2026 |
| Arizona | $6.10 | -- | -- | 2026 |
| California | $3.62 | -- | -- | 2026 |
| Colorado | $6.84 | -- | Required | 2026 |
| District of Columbia | $7.69* | -- | Required | 2026 |
| Delaware | $14.75 | -- | -- | 2026 |
| Iowa | $10.50 | -- | -- | 2012 |
| Kansas | $6.93* | -- | -- | 2022 |
| Kentucky | $45.00 | -- | -- | 2026 |
| Minnesota | $6.22 | -- | Required | 2026 |
| Missouri | $10.13 | -- | Varies | 2024 |
| Mississippi | $7.11* | -- | Required | 2026 |
| Montana | $9.23 | -- | Required | 2025 |
| New Hampshire | $8.00 | -- | Varies | 2026 |
| New Jersey | $6.67 | -- | Required | 2026 |
| Nevada | $6.25 | -- | -- | 2024 |
| South Dakota | $44.68 | -- | -- | 2026 |
| Tennessee | $6.59* | -- | -- | 2025 |
| Texas | $4.26* | -- | -- | 2025 |
| Utah | $7.95* | -- | Required | 2026 |
| Virginia | $23.81 | -- | -- | 2025 |
| Vermont | $12.98 | -- | Required | 2026 |
| Wyoming | $14.02 | -- | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Frequently asked questions
How much does Medicaid pay for T1019?
23 state Medicaid programs publish a fee-for-service rate for T1019 (personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)), ranging from $3.62 in California to $45.00 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for T1019?
Kentucky publishes the highest Medicaid rate for T1019 at $45.00. California publishes the lowest at $3.62.
Does T1019 require prior authorization under Medicaid?
8 of the 23 publishing states flag T1019 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".