96146 Medicaid reimbursement rates by state

Mental health assessment (non-physician). 32 state Medicaid programs publish a fee-for-service rate for 96146 at the physician psychologist level. Rates run from $1.02 in New Jersey to $825.87 in California, with a median of $1.85.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing: 32
Median rate: $1.85units vary by state
Highest: $825.87California
Medicare (non-facility): $1.94–$3.072026 physician fee schedule

96146 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare	Source
CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans)	$825.87⚠ over 3× mediansince 2026-07-01	—	—	Paid by the state, outside plans	—	Medi-Cal Behavioral Health Fee Schedules
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)	$147.22⚠ over 3× mediansince 2021-01-01	—	—	Plans negotiate; applies out of network	—	2026 Fee Schedule - Covered Procedures R
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$38.38⚠ over 3× mediansince 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
LouisianaPhysician or licensed psychologist (incl. BCBA-D) · Louisiana Medicaid (fee-for-service)	$31.63⚠ over 3× mediansince 2024-08-01	—	—	Plans must pay at least this	—	Specialized Behavioral Health Services f
South CarolinaPhysician or licensed psychologist (incl. BCBA-D) · South Carolina Healthy Connections Medicaid (fee-for-service)	$29.68⚠ over 3× mediansince 2025-12-01	—	—	Not classified	—	SCDHHS RBHS Substance Use Services Fee S
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$27.04⚠ over 3× mediansince 2022-07-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$23.41⚠ over 3× mediansince 2025-12-01	—	—	Not classified	—	Behavior Health Services Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$9.62⚠ over 3× mediansince 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus Behavioral Health
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)	$3.29since 2026-07-01	—	—	Not classified	—	Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$3.25since 2025-01-01	—	—	Plans must pay at least this	—	Fee Schedule for Behavioral Health Provi
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$2.43since 2026-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$2.39since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical4.csv
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$2.13since 2022-01-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
MissouriPhysician or licensed psychologist (incl. BCBA-D) · Missouri MO HealthNet (fee-for-service)	$2.00since 2022-07-01	—	—	Plans must pay at least this	—	MO HealthNet fee schedule: Behavioral He
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$1.95since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$1.85since 2019-01-01	—	—	Plans negotiate; applies out of network	—	Schedule of Maximum Allw Pymt Physician
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)	$1.84since 2026-01-01	—	—	Not classified	—	Vermont Medicaid Fee Schedule - CPT Code
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$1.82since 2019-01-01	—	—	Plans must pay at least this	—	Provider Type 26 Psychologist Reimbursem
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$1.81since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)	$1.78since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Utah Medicaid Coverage and Reimbursement
OklahomaPhysician or licensed psychologist (incl. BCBA-D) · Oklahoma SoonerCare (fee-for-service, OHCA)	$1.75since 2022-07-01	—	—	Plans must pay at least this	—	ODMHSAS PICIS 'SoonerCare - Psychologist
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)	$1.73since 2026-07-01	—	—	Not classified	—	Idaho Medicaid Numerical Fee Schedule Ju
MinnesotaPhysician or licensed psychologist (incl. BCBA-D) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$1.66since 2026-05-21	Session	—	Plans must pay at least this	—	MH Procedure CPT or HCPC Codes and Rates
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$1.66since 2025-10-01	—	—	Plans must pay at least this	—	NC Medicaid fee schedule 'Nurse Practiti
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$1.61since 2019-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$1.51since 2026-01-01	—	—	Not classified	—	CMAP fee schedule: Physician Office and
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)	$1.49since 2023-10-01	—	—	Plans negotiate; applies out of network	—	MDHHS Child and Adolescent Health Center
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)	$1.48since 2026-01-01	—	—	Not classified	—	MaineCare Fee Schedule (MaineCare UCR, H
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)	$1.46since 2026-04-01	—	—	Plans negotiate; applies out of network	—	BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$1.41since 2020-01-01	encounter	—	Plans negotiate; applies out of network	—	DMS CMHC Mental Health Substance Abuse f
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$1.34since 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Mental health and psychology service
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$1.02since 2024-06-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 96146?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $1.85. California pays the most ($825.87) and New Jersey the least ($1.02).

Which state pays the highest Medicaid rate for 96146?

California, at $825.87, effective 2026-07-01.

Do managed-care plans pay the same rate for 96146?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related Behavioral health codes

90791Mental health assessment (non-physician) · 42 states 90832Outpatient psychotherapy and diagnostic evaluation · 42 states 90834Outpatient psychotherapy and diagnostic evaluation · 42 states 90837Outpatient psychotherapy and diagnostic evaluation · 42 states 90847Outpatient psychotherapy and diagnostic evaluation · 42 states 90853Outpatient psychotherapy and diagnostic evaluation · 42 states 96110Mental health assessment (non-physician) · 42 states 96112Mental health assessment (non-physician) · 42 states 96130Mental health assessment (non-physician) · 42 states 96131Mental health assessment (non-physician) · 42 states 96136Mental health assessment (non-physician) · 42 states 96137Mental health assessment (non-physician) · 42 states

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