H0046 Medicaid reimbursement rate by state (2026)

Mental health services, not otherwise specified. Medicaid pays a median of $34.33 for H0046 across 24 states, from $0.45 in Minnesota to $894.62 in California.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing: 24
National median: $34.33units vary by state
Lowest: $0.45Minnesota
Highest: $894.62California

What does Medicaid pay for H0046?

24 state Medicaid programs publish a fee-for-service rate for H0046 at the assistant analyst level. The national median is $34.33 (units differ between states). California pays the most, $894.62 per 24 Hour, and Minnesota the least, $0.45, a 1988.0x spread.

H0046 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.

#	State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare
1	California Source · since 2025-01-01	$894.62	24 Hour	—	Paid by the state, outside plans	—
2	Virginia Source · since 2024-01-01	$102.72	—	—	Plans must pay at least this	—
3	Maryland Source · since 2024-07-01	$66.89	—	—	Paid by the state, outside plans	—
···
12	Kentucky Source · since 2020-01-01	$34.44	encounter	—	Plans negotiate; applies out of network	—
13	Washington Source · since 2024-01-01	$34.22	—	—	Plans negotiate; applies out of network	—
14	South Carolina Source · since 2025-11-01	$33.49	30 min	$66.98	Paid by the state, outside plans	—
···
23	Florida Source · since 2026-01-01	$3.40	—	—	Paid by the state, outside plans	—
24	Minnesota Source · since 2024-01-01	$0.45	—	—	Plans must pass increases through	—

See all 24 states for H0046 — start free

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track H0046 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

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Frequently asked questions

What does Medicaid pay for H0046?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $34.33. California pays the most ($894.62 per 24 Hour) and Minnesota the least ($0.45).

Which state pays the highest Medicaid rate for H0046?

California, at $894.62 per 24 Hour, effective 2025-01-01.

Do managed-care plans pay the same rate for H0046?

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 workspace shows the rule for each state, cited to the contract or statute.

Related codes

Codes next to H0046

983Inpatient DRG pricing input (outlier, cost ratio, stay) · 8 states 987Inpatient DRG pricing input (outlier, cost ratio, stay) · 9 states 988Inpatient DRG pricing input (outlier, cost ratio, stay) · 8 states 989Inpatient DRG pricing input (outlier, cost ratio, stay) · 8 states

Most-published Hospital inpatient codes

Highest-paying states

California Medicaid fee scheduleVirginia Medicaid fee scheduleMaryland Medicaid fee schedule