The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for T2021. 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
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Publishing states
14
Median % of Medicare
--
Rate range
$2.35 - $52.12
T2021 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Connecticut | $5.51 | -- | Required | 2019 |
| District of Columbia | $5.35* | -- | Required | 2026 |
| Indiana | $2.35* | -- | Required | 2023 |
| Kentucky | $19.52 | -- | -- | 2026 |
| Minnesota | $25.00 | -- | Conditional | 2013 |
| Missouri | $12.41 | -- | Not required | 2022 |
| New Hampshire | $9.21* | -- | Required | 2024 |
| New Jersey | $29.18 | -- | Required | 2026 |
| New Mexico | $5.93 | -- | -- | 2026 |
| Nevada | $10.04* | -- | -- | 2024 |
| Tennessee | $4.32* | -- | -- | 2025 |
| Utah | $10.71* | -- | Not required | 2018 |
| Virginia | $52.12 | -- | -- | 2026 |
| Wyoming | $2.83 | -- | -- | 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 T2021?
14 state Medicaid programs publish a fee-for-service rate for T2021 (day habilitation, waiver; per 15 minutes), ranging from $2.35 in Indiana to $52.12 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for T2021?
Virginia publishes the highest Medicaid rate for T2021 at $52.12. Indiana publishes the lowest at $2.35.
Does T2021 require prior authorization under Medicaid?
6 of the 14 publishing states flag T2021 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".