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H0049 Medicaid reimbursement rate by state (2026)

Alcohol and/or drug screening. Medicaid pays a median of $22.63 for H0049 across 19 states, from $8.00 in New Jersey to $210.33 in California.

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

States publishing
19
National median
$22.63units vary by state
Lowest
$8.00New Jersey
Highest
$210.33California

What does Medicaid pay for H0049?

19 state Medicaid programs publish a fee-for-service rate for H0049 at the physician psychologist level. The national median is $22.63 (units differ between states). California pays the most, $210.33, and New Jersey the least, $8.00, a 26.3x spread.

H0049 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 19 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-07-01$210.33——Paid by the state, outside plans—
2New Hampshire Source · since 2023-07-01$69.04——Paid by the state, outside plans—
3New Mexico Source · since 2025-01-01$42.85Unit = 1—Plans must pay at least this—
9New York Source · since 2023-04-01$23.03unit—Plans negotiate; applies out of network—
10Wyoming Source · since 2021-01-01$22.63——Not classified—
11Missouri Source · since 2022-07-01$19.77——Plans must pay at least this—
18Nevada Source · since 2024-07-01$9.75——Plans must pay at least this—
19New Jersey Source · since 2025-01-01$8.00——Not classified—
See all 19 states for H0049 — start free

11 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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 H0049 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for H0049?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $22.63. California pays the most ($210.33) and New Jersey the least ($8.00).

Which state pays the highest Medicaid rate for H0049?

California, at $210.33, effective 2026-07-01.

Do managed-care plans pay the same rate for H0049?

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.