T1023 Medicaid Rate by State

Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter

30 state Medicaid programs publish a fee-for-service rate for T1023 (screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter), ranging from $7.38 in Idaho to $571.47 in North Dakota.

Every state, kept current

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This page shows one representative rate per state for T1023. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

30

Median % of Medicare

--

Rate range

$7.38 - $571.47

T1023 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alaska$41.95----2026
Arkansas$12.00----2026
Arizona$32.42----2026
California$64.83----2026
Connecticut$58.76----2018
District of Columbia$225.00--Varies2003
Iowa$29.43----2012
Idaho$7.38--Varies2025
Kansas$350.00----2013
Louisiana$10.00----2026
Massachusetts$45.88----2026
Michigan$94.49----2026
Minnesota$100.00--Conditional2024
Missouri$12.56--Not required2019
Mississippi$18.90*----2025
North Carolina$89.09----2025
North Dakota$571.47--Not required2026
New Hampshire$176.74--Not required2026
New Jersey$30.00--Not required2026
New Mexico$36.35*----2026
Nevada$165.68----2025
Ohio$30.00----2021
Pennsylvania$20.00----2023
South Carolina$9.70----2011
Texas$47.62*----2024
Utah$306.17*--Not required2023
Virginia$69.89----2026
Vermont$34.00----2016
Washington$103.99*----2026
Wyoming$120.00----2021

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 T1023?

30 state Medicaid programs publish a fee-for-service rate for T1023 (screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter), ranging from $7.38 in Idaho to $571.47 in North Dakota. The full table on this page lists every publishing state's current rate.

Which state pays the most for T1023?

North Dakota publishes the highest Medicaid rate for T1023 at $571.47. Idaho publishes the lowest at $7.38.

Does T1023 require prior authorization under Medicaid?

1 of the 30 publishing states flag T1023 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".