H0036 Medicaid reimbursement rates by state
Community psychiatric supportive treatment, face-to-face. 12 state Medicaid programs publish a fee-for-service rate for H0036 at the physician psychologist level. Rates run from $5.23 in North Carolina to $206.47 in California, with a median of $17.09.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 12
- Median rate
- $17.09units vary by state
- Highest
- $206.47California
- Medicare (non-facility)
- —not on the physician fee schedule
H0036 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) | $206.47⚠ over 3× mediansince 2026-07-01 | 15 min | $825.88 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $79.53since 2025-09-01 | hour | $79.53 | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $46.13since 2024-01-01 | 15 min | $184.52 | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $25.31since 2019-07-01 | 15 min | $101.24 | 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) | $21.43since 2024-01-01 | 15 min | $85.72 | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $18.25since 2025-01-01 | 15 min | $73.00 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $15.93since 2026-07-01 | 15 min | $63.72 | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| OhioAgency provider · Ohio Medicaid (fee-for-service) | $10.14since 2024-01-01 | 15 min | $40.56 | 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 | $8.72since 2024-01-01 | 15 min | $34.88 | Plans must pay at least this | — | HCA Specialized mental health fee schedu |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $7.09since 2020-01-01 | 15 min | $28.36 | Suggested schedule for plans | — | AHCCCS MCO Behavioral Health Outpatient |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $6.77since 2026-01-01 | 15 min | $27.08 | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $5.23since 2025-10-01 | 15 min | $20.92 | Paid by the state, outside plans | — | NC Medicaid fee schedule 'Children Devel |
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 H0036?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $17.09. California pays the most ($206.47 per 15 min) and North Carolina the least ($5.23 per 15 min).
Which state pays the highest Medicaid rate for H0036?
California, at $206.47 per 15 min ($825.88 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for H0036?
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.