Every state, kept current
The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Tennessee state-specific services schedule has 22 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Published codes
22
state-specific and temporary HCPCS codes on the 2025 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2025
latest effective year on the schedule
TennCare pays medical services through managed-care organizations, so Tennessee publishes no state FFS fee schedule for most categories. The rates shown are the schedules Tennessee itself sets, such as DDA waiver services.
Why Tennessee publishes no Medicaid fee schedule →Common state-specific and temporary HCPCS codes and what Tennessee Medicaid pays
A curated sample of recognizable procedures from the 22-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Tennessee rate | % of Medicare |
|---|---|---|---|
| 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) | $6.59* | -- |
| T2021 | Day habilitation, waiver; per 15 minutes | $4.32* | -- |
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 * show the schedule's representative published variant.
More Tennessee Medicaid fee schedules
State-Specific Services rates in neighboring states
Frequently asked questions
What does Tennessee Medicaid pay for state-specific and temporary HCPCS services?
Tennessee Medicaid publishes 22 state-specific and temporary HCPCS code rates effective 2025 on its fee-for-service schedule. The schedule covers clinic and screening encounters, telehealth facility fees, personal care, and other C, Q, S and T codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Tennessee's state-specific services rates compare with Medicare?
Most state-specific services codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do state-specific and temporary HCPCS services need prior authorization in Tennessee?
Tennessee does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Tennessee's published Medicaid fee-for-service schedule (effective 2025), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.