T1026 Medicaid Rate by State

Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour

11 state Medicaid programs publish a fee-for-service rate for T1026 (intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour), ranging from $23.95 in Iowa to $326.82 in Colorado.

Every state, kept current

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This page shows one representative rate per state for T1026. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

11

Median % of Medicare

--

Rate range

$23.95 - $326.82

T1026 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
California$44.12----2026
Colorado$326.82----2026
Iowa$23.95----2024
Louisiana$52.30----2026
Maine$92.25----2026
Mississippi$52.73--Required2026
New Jersey$299.43--Not required2026
New Mexico$206.33*----2026
Texas$32.46*----2023
Virginia$25.31*----2024
Vermont$183.00----2015

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 T1026?

11 state Medicaid programs publish a fee-for-service rate for T1026 (intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour), ranging from $23.95 in Iowa to $326.82 in Colorado. The full table on this page lists every publishing state's current rate.

Which state pays the most for T1026?

Colorado publishes the highest Medicaid rate for T1026 at $326.82. Iowa publishes the lowest at $23.95.

Does T1026 require prior authorization under Medicaid?

1 of the 11 publishing states flag T1026 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".