H0002 Medicaid reimbursement rates by state
Behavioral health screening to determine eligibility for.... 10 state Medicaid programs publish a fee-for-service rate for H0002 at the rn level. Rates run from $5.60 in Washington to $122.16 in Missouri, with a median of $31.68.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $31.68units vary by state
- Highest
- $122.16Missouri
- Medicare (non-facility)
- —not on the physician fee schedule
H0002 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 |
|---|---|---|---|---|---|---|
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $122.16⚠ over 3× mediansince 2019-07-01 | — | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Psy |
| KentuckyPhysician or licensed psychologist (incl. BCBA-D) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $107.44since 2020-01-01 | encounter | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $97.65since 2024-07-01 | — | — | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – PRP and Speci |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $42.67since 2026-09-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Practitioner and Medical Clinic Fe |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $35.35since 2008-07-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: MHPW SBI |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $28.01since 2025-07-01 | 1/4 hour | — | Plans negotiate; applies out of network | — | HFS Fee Schedule for Substance Use Preve |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $22.69since 2026-10-01 | — | — | Suggested schedule for plans | — | AHCCCS MCO Fee Schedule Final MCO Behavi |
| South CarolinaRegistered nurse (RN) · South Carolina Healthy Connections Medicaid (fee-for-service) | $15.61since 2011-04-08 | — | — | Not classified | — | SCDHHS Private Mental Health Fee Schedul |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $6.70since 2026-01-01 | — | — | Paid by the state, outside plans | — | Medicaid Certified School Match Program |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $5.60since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | HCA Mental health and psychology service |
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 H0002?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $31.68. Missouri pays the most ($122.16) and Washington the least ($5.60).
Which state pays the highest Medicaid rate for H0002?
Missouri, at $122.16, effective 2019-07-01.
Do managed-care plans pay the same rate for H0002?
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.