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2018 ALW Program Reimbursement Rates

January 8, 2018

Effective for dates of service on or after January 1, 2018, Assisted Living Waiver (ALW) program reimbursement rates have increased. Senate Bill 3 established a schedule to raise the minimum wage from $10.50 per hour to $15.00 per hour, which impacts the hourly rates for licensed care.

The following are the updated rates for 2018:

HCPCS Code Description 2018 Rate
G9002 Coordinated care fee; maintenance rate $320.00
T2024 Service assessment/plan of care development, waiver $320.00
T2031 U1 Assisted living, waiver; per diem $58.00
T2031 U2 Assisted living, waiver; per diem $69.00
T2031 U3 Assisted living, waiver; per diem $80.00
T2031 U4 Assisted living, waiver; per diem $92.00