T2027 HCPCS Code: Specialized childcare (Units, EVV, Rates, Denials)
T2027: Specialized childcare, waiver, per 15 minutes. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
T2027 is “Specialized childcare, waiver; per 15 minutes.” It is billed per 15 min and covers child care for children with disabilities or complex needs under a Medicaid waiver. Medicare does not pay it. Whether EVV applies depends on how your state defines the service: CMS expects EVV for in-home services that include personal care.
Units and rounding
One unit is 15 minutes, so 1 hour is 4 units. Your state sets the rule for partial units: many count a unit once at least 8 minutes are worked (8 to 22 minutes is one unit), while others pay only completed units. Round the way your provider manual says. Convert minutes in the units calculator.
Modifiers you will see
- U1–U9: State-defined; often distinguish programs (waiver vs state plan), service levels or provider types
- HQ: Group setting
Modifier meanings are set by each state and payer, so check your provider manual. See home care billing modifiers.
Typical rates
Rates are state-specific and often differ for individual and group care. Each state program and managed-care plan sets its own rate, so use your state’s current fee schedule. Check what is left of an hour after wages and overhead with the Medicaid hour margin calculator.
Common denial reasons
- Units exceed the authorization
- Child not enrolled in a waiver that covers the service
- Missing or mismatched EVV visit, where the state requires it
- Service date outside the authorization period
Related codes
Source
CMS HCPCS Level II code set (quarterly update). Confirm the exact descriptor and any state-specific unit definition in your payer’s billing manual. Last reviewed November 6, 2026.
General information, not billing or legal advice. Check your state Medicaid agency’s current fee schedule and provider manual.