T1020 Medicaid Rate by State

Personal care services, per diem, 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)

13 state Medicaid programs publish a fee-for-service rate for T1020 (personal care services, per diem, 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 $6.00 in Virginia to $556.73 in New Hampshire.

Every state, kept current

The Rates plan

$29/mo7-day free trial

This page shows one representative rate per state for T1020. Full schedules include every locality, modifier, and age-band variant.

  • Every code on all 51 published schedules
  • Full-schedule CSV export and state network lists
  • Email alerts when a state changes its rates
Start free trial

$29/mo after the trial. Cancel anytime.

Publishing states

13

Median % of Medicare

--

Rate range

$6.00 - $556.73

T1020 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$16.82*----2026
Arizona$316.92----2026
District of Columbia$65.00--Not required2016
Iowa$294.00----2012
Indiana$38.36*--Required2023
Maine$195.47----2026
Mississippi$494.09*----2026
Montana$15.80*--Required2025
New Hampshire$556.73*--Required2024
Utah$33.23*--Required2003
Virginia$6.00----2022
Vermont$379.40----2026
Washington$36.27----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.

Related state-specific services codes

All 19 codes from T1000 to T1999 or every state-specific services code by number.

Frequently asked questions

How much does Medicaid pay for T1020?

13 state Medicaid programs publish a fee-for-service rate for T1020 (personal care services, per diem, 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 $6.00 in Virginia to $556.73 in New Hampshire. The full table on this page lists every publishing state's current rate.

Which state pays the most for T1020?

New Hampshire publishes the highest Medicaid rate for T1020 at $556.73. Virginia publishes the lowest at $6.00.

Does T1020 require prior authorization under Medicaid?

4 of the 13 publishing states flag T1020 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".