How Much Does Medicaid Pay for Behavioral Health Services?
Mental health rehabilitation, community support, and behavioral health services covered by Medicaid.
Service Behavioral Health Services Year 2024 Codes 18
Included Procedure Codes
H0031 — Mh health assess by non-mdH0032 — Mh svc plan dev by non-mdH0033 — Oral med adm direct observeH0034 — Med trng & support per 15minH0035 — Mh partial hosp tx under 24hH0036 — Comm psy face-face per 15minH0037 — Comm psy sup tx pgm per diemH0038 — Self-help/peer svc per 15minH0039 — Asser com tx face-face/15minH0040 — Assert comm tx pgm per diemH2012 — Behav hlth day treat, per hrH2013 — Psych hlth fac svc, per diemH2014 — Skills train and dev, 15 minH2015 — Comp comm supp svc, 15 minH2016 — Comp comm supp svc, per diemH2017 — Psysoc rehab svc, per 15 minH2019 — Ther behav svc, per 15 minH2020 — Ther behav svc, per diem
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| Alabama | $53.70 | 1,082,714 | $58,137,045.63 | 13 |
| Alaska | $139.96 | 165,103 | $23,107,912.03 | 8 |
| Arizona | $95.06 | 2,084,684 | $198,177,921.41 | 14 |
| Arkansas | $151.33 | 938,026 | $141,951,937.86 | 8 |
| California | $219.33 | 6,804,822 | $1,492,480,139.96 | 13 |
| Colorado | $219.67 | 1,772,605 | $389,379,404.18 | 14 |
| Connecticut | $189.32 | 91,846 | $17,388,083.79 | 7 |
| Delaware | $183.40 | 58,963 | $10,813,647.16 | 7 |
| District of Columbia | $99.25 | 2,386,318 | $236,843,184.37 | 5 |
| Florida | $83.76 | 5,526,068 | $462,888,193.87 | 14 |
| Georgia | $88.78 | 161,993 | $14,382,122.28 | 9 |
| Hawaii | $78.73 | 113,578 | $8,942,410.32 | 6 |
| Idaho | $158.15 | 333,433 | $52,733,367.64 | 11 |
| Illinois | $130.49 | 1,279,749 | $166,997,416.20 | 12 |
| Indiana | $131.39 | 1,648,652 | $216,612,518.26 | 11 |
| Iowa | $335.34 | 1,694,572 | $568,255,746.43 | 12 |
| Kansas | $7.99 | 549,178 | $4,386,094.27 | 8 |
| Kentucky | $79.25 | 2,242,634 | $177,725,638.47 | 13 |
| Louisiana | $112.04 | 2,071,580 | $232,098,735.83 | 13 |
| Maine | $189.92 | 318,791 | $60,546,374.86 | 8 |
| Maryland | $512.65 | 346,944 | $177,862,026.44 | 13 |
| Massachusetts | $112.08 | 2,185,175 | $244,904,648.33 | 14 |
| Michigan | $145.52 | 9,693,552 | $1,410,622,538.44 | 13 |
| Minnesota | $140.69 | 2,255,081 | $317,263,132.71 | 15 |
| Mississippi | $86.19 | 714,683 | $61,597,373.93 | 11 |
| Missouri | $24.88 | 2,883,728 | $71,732,742.12 | 14 |
| Montana | $122.33 | 325,665 | $39,837,559.32 | 12 |
| Nebraska | $145.99 | 93,039 | $13,582,307.93 | 10 |
| Nevada | $66.33 | 244,546 | $16,221,263.72 | 10 |
| New Hampshire | $89.14 | 411,069 | $36,642,741.48 | 11 |
| New Jersey | $418.81 | 4,540,178 | $1,901,493,878.11 | 14 |
| New Mexico | $178.16 | 392,634 | $69,950,771.74 | 9 |
| New York | $280.93 | 2,228,434 | $626,034,188.90 | 18 |
| North Carolina | $174.31 | 3,078,388 | $536,591,204.30 | 14 |
| North Dakota | $137.48 | 19,411 | $2,668,636.27 | 8 |
| Ohio | $100.42 | 5,402,461 | $542,510,836.56 | 11 |
| Oklahoma | $62.38 | 283,906 | $17,708,842.35 | 9 |
| Oregon | $93.50 | 406,115 | $37,972,834.99 | 14 |
| Pennsylvania | $171.89 | 2,396,363 | $411,901,729.00 | 12 |
| Puerto Rico | $0.00 | 176 | $0.00 | 1 |
| Rhode Island | $124.11 | 425,140 | $52,764,057.81 | 13 |
| South Carolina | $86.48 | 274,700 | $23,756,477.16 | 10 |
| South Dakota | $101.74 | 114,616 | $11,661,091.65 | 4 |
| Tennessee | $228.31 | 627,313 | $143,219,640.72 | 14 |
| Texas | $147.33 | 8,308,806 | $1,224,096,217.31 | 14 |
| Utah | $128.07 | 370,043 | $47,391,206.03 | 9 |
| Vermont | $113.77 | 345,648 | $39,322,731.57 | 7 |
| Virginia | $214.45 | 1,222,900 | $262,245,933.32 | 14 |
| Washington | $59.34 | 440,752 | $26,153,031.41 | 14 |
| West Virginia | $101.78 | 352,979 | $35,924,737.05 | 11 |
| Wisconsin | $94.89 | 2,158,152 | $204,785,234.54 | 10 |
| Wyoming | $74.06 | 39,629 | $2,934,930.90 | 6 |