H0010 Medicaid reimbursement rates by state
Alcohol and/or drug services; sub-acute detoxification. 14 state Medicaid programs publish a fee-for-service rate for H0010 at the agency level. Rates run from $108.91 in South Carolina to $952.61 in Oregon, with a median of $398.05.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 14
- Median rate
- $398.05units vary by state
- Highest
- $952.61Oregon
- Medicare (non-facility)
- —not on the physician fee schedule
H0010 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 |
|---|---|---|---|---|---|---|
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $952.61since 2024-07-01 | day | — | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $733.95since 2025-10-01 | day | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $546.59since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $534.79since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $500.62since 2026-07-01 | — | — | Plans must pay at least this | — | Rates for Certain Substance-Related and |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $478.44since 2025-07-01 | day | — | Plans negotiate; applies out of network | — | HFS Fee Schedule for Substance Use Preve |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $452.90since 2025-01-01 | — | — | Plans must pay at least this | — | NJMMIS Procedure Master Listing CPTHCPCS |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado behavioral health services paid fee-for-service by HCPF (outside the RAE capitation) | $343.20since 2026-07-01 | day | — | Paid by the state, outside plans | — | Behavioral Health Fee-for-Service Rates |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma ODMHSAS state-funded behavioral health services (non-Medicaid 'State Rate') | $300.00since 2022-07-01 | day | — | Not classified | — | ODMHSAS PICIS 'Rates and Codes for Agenc |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $298.65since 2022-07-01 | — | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Comprehensive |
| OhioAgency provider · Ohio Medicaid (fee-for-service) | $256.33since 2018-01-01 | day | — | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $176.12since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | HCA Substance use disorder fee schedule |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule) | $166.40since 2022-07-01 | — | — | Plans must pay at least this | — | KMAP Fee Schedule TXIX Medicaid (FeeSche |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $108.91since 2025-12-01 | day | — | Not classified | — | SCDHHS RBHS Substance Use Services Fee S |
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 H0010?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $398.05. Oregon pays the most ($952.61 per day) and South Carolina the least ($108.91 per day).
Which state pays the highest Medicaid rate for H0010?
Oregon, at $952.61 per day, effective 2024-07-01.
Do managed-care plans pay the same rate for H0010?
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.