H0011 Medicaid reimbursement rates by state
Alcohol and/or drug services; acute detoxification. 19 state Medicaid programs publish a fee-for-service rate for H0011 at the physician psychologist level. Rates run from $0.01 in Rhode Island to $952.61 in Oregon, with a median of $373.24.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 19
- Median rate
- $373.24units vary by state
- Highest
- $952.61Oregon
- Medicare (non-facility)
- —not on the physician fee schedule
H0011 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 ( |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado behavioral health services paid fee-for-service by HCPF (outside the RAE capitation) | $941.70since 2026-07-01 | day | — | Paid by the state, outside plans | — | Behavioral Health Fee-for-Service Rates |
| North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service) | $796.50since 2026-07-01 | — | — | Not classified | — | ND Medicaid Behavioral Health Services F |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid behavioral health services (State Plan, Division of Behavioral Health) | $598.45since 2026-07-01 | day | — | Not classified | — | Chart of Community Behavioral Health and |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $472.02since 2024-07-31 | — | — | Plans must pay at least this | — | Provider Type 20 Physician, MD., Osteopa |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $452.43since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | DMAP 2024 Physician Fee Schedule |
| OhioAgency provider · Ohio Medicaid (fee-for-service) | $442.95since 2024-01-01 | day | — | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $436.97since 2019-07-01 | — | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Psy |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $425.61since 2026-01-01 | day | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $373.24since 2025-12-01 | day | — | Not classified | — | SCDHHS RBHS Substance Use Services Fee S |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $364.00since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | HCA Substance use disorder fee schedule |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Behavioral Health Center benefit plans (WDH Behavioral Health Division, not Medicaid) | $355.09since 2026-07-01 | — | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $320.30since 2024-04-01 | day | — | Plans negotiate; applies out of network | — | KY Medicaid Behavioral Health fee schedu |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $307.89since 2026-01-01 | day | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $262.93since 2025-07-01 | day | — | Not classified | — | Substance Use Disorder (Chemical Depende |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule) | $250.00since 2007-07-01 | — | — | Plans must pay at least this | — | KMAP Fee Schedule TXIX Medicaid (FeeSche |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $167.40since 2023-07-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $39.44since 2026-07-01 | — | — | Plans must pay at least this | — | Rates for Certain Substance-Related and |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid behavioral health programs (CMHC, ACT, BH Link, peer, SUD, health homes; fee-for-service) | $0.01since 2024-10-01 | — | — | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For 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 H0011?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $373.24. Oregon pays the most ($952.61 per day) and Rhode Island the least ($0.01).
Which state pays the highest Medicaid rate for H0011?
Oregon, at $952.61 per day, effective 2024-07-01.
Do managed-care plans pay the same rate for H0011?
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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Track H0011 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.