99342 Medicaid reimbursement rates by state

Medication training and support. 32 state Medicaid programs publish a fee-for-service rate for 99342 at the physician psychologist level. Rates run from $33.69 in Wisconsin to $800.37 in California, with a median of $69.90.

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

States publishing: 32
Median rate: $69.90units vary by state
Highest: $800.37California
Medicare (non-facility): $74.68–$93.252026 physician fee schedule

99342 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)	$800.37⚠ over 3× mediansince 2026-07-01	—	—	Paid by the state, outside plans	—	Medi-Cal Behavioral Health Fee Schedules
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$123.55since 2026-09-24	—	—	Not classified	—	Teaching Facility Fee Schedule
MissouriPhysician or licensed psychologist (incl. BCBA-D) · Missouri MO HealthNet (fee-for-service)	$106.39since 2019-07-01	—	—	Paid by the state, outside plans	—	MO HealthNet fee schedule: Community Psy
OhioAgency provider · Ohio Medicaid (fee-for-service)	$101.09since 2024-01-01	encounter	—	Plans expected to pay at least this	131%	OAC 5160-27-03 Appendix A, Community Beh
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$98.05since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
NebraskaPhysician or licensed psychologist (incl. BCBA-D) · Nebraska Medicaid (fee-for-service)	$85.69since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid Mental Health and Subs
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$79.69since 2026-01-01	—	—	Plans must pay at least this	—	Maryland Medicaid Professional Services
GeorgiaPhysician or licensed psychologist (incl. BCBA-D) · Georgia Medicaid (fee-for-service)	$79.30since 2020-08-14	—	—	Plans negotiate; applies out of network	—	Max Allow Pymt Physician Enhanced Rate C
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$77.78since 2013-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$73.38since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus FY 2026-2027 Fee
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$73.24since 2024-08-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$72.96since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)	$71.50since 2025-05-15	—	—	Not classified	—	Arkansas Medicaid Oral Surgeon Fee Sched
ArizonaPhysician or licensed psychologist (incl. BCBA-D) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$71.45since 2024-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)	$71.18since 2026-07-01	—	—	Plans must pay at least this	—	SoonerCare Title XIX Fee Schedule
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)	$70.43since 2025-10-01	—	—	Plans must pay at least this	—	NC Medicaid fee schedule 'ACA Physician
MichiganPhysician or licensed psychologist (incl. BCBA-D) · Michigan Medicaid (fee-for-service)	$69.37since 2026-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Physician Primary Care Rate Increa
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$63.21since 2026-02-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$62.73since 2021-11-17	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$61.74since 2026-01-01	—	—	Not classified	—	CMAP fee schedule: Physician Office and
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$61.31since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Practitioner Fee Schedule (2026-01-01)
PennsylvaniaRegistered nurse (RN) · Pennsylvania Medical Assistance (fee-for-service)	$61.11since 2012-04-05	—	—	Plans negotiate; applies out of network	—	PA DHS PROMISe Outpatient Fee Schedule (
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$60.87since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$57.81since 2024-07-01	—	—	Not classified	—	SCDHHS Base Physician Fee Schedule (sche
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$57.27since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$56.79since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical4.csv
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$54.92since 2026-07-01	—	—	Plans must pay at least this	—	HCA Enhanced adult primary care fee sche
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$52.16since 2025-07-01	—	—	Plans must pay at least this	—	Specialized Behavioral Health Services f
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$51.46since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Podiatrist Fee Schedule (effective 2
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$51.10since 2026-07-01	—	—	Plans must pay at least this	—	NJMMIS Procedure Master Listing CPTHCPCS
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid HIV Enhanced Fees for Physicians Program	$36.36since 2022-04-01	unit	—	Not classified	—	eMedNY Physician Enhanced Program Fee Sc
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$33.69since 2008-07-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-

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 99342?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $69.90. California pays the most ($800.37) and Wisconsin the least ($33.69).

Which state pays the highest Medicaid rate for 99342?

California, at $800.37, effective 2026-07-01.

How do Medicaid rates for 99342 compare with Medicare?

Where the billing units match, Medicaid pays between 131% and 131% of the 2026 Medicare physician fee schedule amount for the state (non-facility).

Do managed-care plans pay the same rate for 99342?

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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