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96367 Medicaid reimbursement rates by state

Medication training and support. 34 state Medicaid programs publish a fee-for-service rate for 96367 at the physician psychologist level. Rates run from $12.97 in New Jersey to $551.37 in California, with a median of $25.34.

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

States publishing
34
Median rate
$25.34units vary by state
Highest
$551.37California
Medicare (non-facility)
$26.32–$40.462026 physician fee schedule

96367 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans)$551.37⚠ over 3× mediansince 2026-07-01——Paid by the state, outside plans—Medi-Cal Behavioral Health Fee Schedules
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$45.53since 2025-05-15——Not classified—Arkansas Medicaid Oral Surgeon Fee Sched
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$38.90since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$34.15since 2009-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$30.81since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$30.15since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$29.47since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$29.31since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$29.14since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$27.21since 2013-09-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$27.12since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 3 (Dr
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$27.00since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$27.00since 2026-08-25——Not classified—Physician Drug Fee Schedule (REF-0130-Q)
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$26.93since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$25.75since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$25.45since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$25.39since 2011-07-11——Not classified—SCDHHS Base Physician Fee Schedule (sche
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$25.29since 2025-01-20——Plans must pay at least this—Louisiana Medicaid Mary Bird Perkins Can
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$24.79since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$24.12since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$23.80since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$23.25since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$23.15since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$23.03since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$22.97since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$22.62since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$22.53since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$22.27since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$21.18since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$19.78since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$18.96since 2026-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$18.59since 2009-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$18.35since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$12.97since 2026-07-01——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 96367?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $25.34. California pays the most ($551.37) and New Jersey the least ($12.97).

Which state pays the highest Medicaid rate for 96367?

California, at $551.37, effective 2026-07-01.

Do managed-care plans pay the same rate for 96367?

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

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