H0034 Medicaid reimbursement rates by state
Medication training and support, per 15 minutes. 10 state Medicaid programs publish a fee-for-service rate for H0034 at the physician psychologist level. Rates run from $3.38 in Texas to $131.58 in California, with a median of $13.63.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $13.63units vary by state
- Highest
- $131.58California
- Medicare (non-facility)
- —not on the physician fee schedule
H0034 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) | $131.58⚠ over 3× mediansince 2026-07-01 | 15 min | $526.32 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky 1915(i) Recovery, Independence, Support & Engagement (RISE) Initiative | $30.25since 2025-07-01 | 15 min | $121.00 | Not classified | — | DMS 1915(i) RISE Initiative Fee Schedule |
| South CarolinaPhysician or licensed psychologist (incl. BCBA-D) · South Carolina Healthy Connections Medicaid (fee-for-service) | $26.54since 2026-07-01 | 15 min | $106.16 | Not classified | — | SCDHHS Rehabilitative Behavioral Health |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid Rehabilitation Option (MRO) community mental health services | $18.62since 2010-07-01 | 15 min | $74.48 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $16.98since 2026-05-21 | 15 min | $67.92 | Plans must pass increases through | — | MH Procedure CPT or HCPC Codes and Rates |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $10.27since 2022-01-01 | 1/4 hr | — | Plans negotiate; applies out of network | — | HFS Community Based Behavioral Services |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $9.82since 2026-01-01 | 15 min | $39.28 | Plans negotiate; applies out of network | — | HCA Mental health and psychology service |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $9.17since 2008-07-01 | 15 min | $36.68 | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Medical- |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $7.88since 2026-10-01 | 15 min | $31.52 | Suggested schedule for plans | — | AHCCCS MCO Fee Schedule Final MCO Behavi |
| TexasCase manager / support coordinator · Texas Medicaid (fee-for-service, TMHP) | $3.38since 2017-04-01 | 15 min | $13.52 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Case |
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 H0034?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $13.63. California pays the most ($131.58 per 15 min) and Texas the least ($3.38 per 15 min).
Which state pays the highest Medicaid rate for H0034?
California, at $131.58 per 15 min ($526.32 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for H0034?
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.