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96376 Medicaid reimbursement rates by state

Medication training and support. 17 state Medicaid programs publish a fee-for-service rate for 96376 at the physician psychologist level. Rates run from $7.46 in Minnesota to $266.79 in California, with a median of $15.00.

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

States publishing
17
Median rate
$15.00units vary by state
Highest
$266.79California
Medicare (non-facility)
—not on the physician fee schedule

96376 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)$266.79⚠ over 3× mediansince 2026-07-01——Paid by the state, outside plans—Medi-Cal Behavioral Health Fee Schedules
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$21.75since 2009-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$19.73since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$19.54since 2025-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$19.51since 2009-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$16.84since 2011-07-11——Not classified—SCDHHS Infusion Center Fee Schedule (sch
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$16.31since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$15.00since 2009-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$15.00since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$14.24since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$14.21since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$11.90since 2026-01-01——Not classified—Maryland Medicaid Professional Services
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$11.76since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Misce
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$11.41since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$10.10since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$8.66since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$7.46since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule

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 96376?

It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $15.00. California pays the most ($266.79) and Minnesota the least ($7.46).

Which state pays the highest Medicaid rate for 96376?

California, at $266.79, effective 2026-07-01.

Do managed-care plans pay the same rate for 96376?

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

Track 96376 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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