How Much Does Medicaid Pay for Case management?
HCPCS T1016 Year 2024
Average Payment by State
| State | Value |
|---|
| Alabama | $3.31 |
| Alaska | $229.52 |
| Arizona | $38.53 |
| Arkansas | $64.95 |
| California | $9.06 |
| Colorado | $34.77 |
| Connecticut | $23.29 |
| Florida | $76.33 |
| Georgia | $83.40 |
| Idaho | $109.72 |
| Illinois | $88.32 |
| Indiana | $34.82 |
| Iowa | $455.77 |
| Kansas | $205.62 |
| Kentucky | $139.95 |
| Louisiana | $143.03 |
| Maine | $54.15 |
| Maryland | $165.11 |
| Massachusetts | $81.45 |
| Michigan | $157.22 |
| Minnesota | $52.73 |
| Missouri | $159.90 |
| Montana | $53.58 |
| Nevada | $64.65 |
| New Hampshire | $343.58 |
| New Jersey | $0.00 |
| New Mexico | $0.00 |
| New York | $211.62 |
| North Carolina | $240.61 |
| North Dakota | $74.64 |
| Ohio | $39.34 |
| Oklahoma | $74.35 |
| Oregon | $73.85 |
| Pennsylvania | $95.21 |
| Rhode Island | $31.79 |
| South Carolina | $55.73 |
| South Dakota | $66.30 |
| Tennessee | $61.00 |
| Texas | $62.51 |
| Utah | $69.20 |
| Vermont | $0.70 |
| Virginia | $278.56 |
| Washington | $11.10 |
| West Virginia | $69.75 |
| Wisconsin | $78.13 |
| Wyoming | $96.42 |
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Providers |
|---|
| Alabama | $3.31 | 448,657 | $1,483,807.50 | 2 |
| Alaska | $229.52 | 35,185 | $8,075,724.44 | 36 |
| Arizona | $38.53 | 4,668,101 | $179,860,974.07 | 517 |
| Arkansas | $64.95 | 15,418 | $1,001,360.11 | 3 |
| California | $9.06 | 36,224 | $328,070.31 | 40 |
| Colorado | $34.77 | 27,276 | $948,497.35 | 17 |
| Connecticut | $23.29 | 9,392 | $218,747.38 | 22 |
| Florida | $76.33 | 12,170 | $928,961.40 | 5 |
| Georgia | $83.40 | 20,528 | $1,712,113.14 | 8 |
| Idaho | $109.72 | 2,914 | $319,725.64 | 1 |
| Illinois | $88.32 | 536,237 | $47,359,493.51 | 282 |
| Indiana | $34.82 | 595,083 | $20,720,927.56 | 33 |
| Iowa | $455.77 | 2,054 | $936,152.82 | 4 |
| Kansas | $205.62 | 946 | $194,513.63 | 2 |
| Kentucky | $139.95 | 93,419 | $13,074,412.45 | 48 |
| Louisiana | $143.03 | 23,259 | $3,326,657.43 | 29 |
| Maine | $54.15 | 20,268 | $1,097,503.40 | 4 |
| Maryland | $165.11 | 57,836 | $9,549,176.34 | 32 |
| Massachusetts | $81.45 | 2,552 | $207,850.55 | 4 |
| Michigan | $157.22 | 47,958 | $7,539,870.49 | 5 |
| Minnesota | $52.73 | 1,299,525 | $68,518,972.64 | 159 |
| Missouri | $159.90 | 6,809 | $1,088,787.19 | 5 |
| Montana | $53.58 | 186,732 | $10,004,893.38 | 33 |
| Nevada | $64.65 | 54,767 | $3,540,433.01 | 19 |
| New Hampshire | $343.58 | 160,982 | $55,310,809.33 | 20 |
| New Jersey | $0.00 | 35 | $0.00 | 1 |
| New Mexico | $0.00 | 48,026 | $0.25 | 6 |
| New York | $211.62 | 73,857 | $15,629,880.64 | 29 |
| North Carolina | $240.61 | 133,905 | $32,218,400.78 | 115 |
| North Dakota | $74.64 | 7,142 | $533,108.48 | 15 |
| Ohio | $39.34 | 257,430 | $10,126,160.01 | 7 |
| Oklahoma | $74.35 | 806,099 | $59,931,685.04 | 103 |
| Oregon | $73.85 | 59,182 | $4,370,351.38 | 118 |
| Pennsylvania | $95.21 | 260,714 | $24,822,731.33 | 112 |
| Rhode Island | $31.79 | 199,460 | $6,340,956.86 | 66 |
| South Carolina | $55.73 | 174,046 | $9,700,351.76 | 65 |
| South Dakota | $66.30 | 73,030 | $4,841,823.35 | 30 |
| Tennessee | $61.00 | 66 | $4,026.24 | 1 |
| Texas | $62.51 | 50,198 | $3,138,070.20 | 3 |
| Utah | $69.20 | 78,112 | $5,405,178.80 | 8 |
| Vermont | $0.70 | 206,602 | $144,871.69 | 28 |
| Virginia | $278.56 | 4,183 | $1,165,196.59 | 14 |
| Washington | $11.10 | 15,407 | $171,041.32 | 38 |
| West Virginia | $69.75 | 51,269 | $3,576,071.49 | 31 |
| Wisconsin | $78.13 | 1,008,209 | $78,775,979.67 | 133 |
| Wyoming | $96.42 | 3,382 | $326,102.89 | 12 |