H2012 Medicaid reimbursement rates by state
Behavioral health day treatment, per hour. 22 state Medicaid programs publish a fee-for-service rate for H2012 at the rn level. Rates run from $10.76 in Kentucky to $466.50 in California, with a median of $22.66.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 22
- Median rate
- $22.66units vary by state
- Highest
- $466.50California
- Medicare (non-facility)
- —not on the physician fee schedule
H2012 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 |
|---|---|---|---|---|---|---|
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $466.50since 2026-07-01 | >4.0 hours | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $100.00⚠ over 3× mediansince 2025-07-01 | hour | $100.00 | Plans must pay at least this | — | Provider Type 26 Psychologist Reimbursem |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $88.50⚠ over 3× mediansince 2026-01-01 | hour | $88.50 | Not classified | — | CMAP fee schedule: Clinic and Outpatient |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $74.25⚠ over 3× mediansince 2024-01-01 | hour | $74.25 | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $59.93since 2026-07-01 | hour | $59.93 | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $42.25since 2025-10-01 | hour | $42.25 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $37.06since 2024-07-01 | hour | $37.06 | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, June 202 |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $29.57since 2026-03-13 | hour | $29.57 | Plans negotiate; applies out of network | — | Rates for Psychiatric Day Treatment Cent |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $27.78since 2025-01-01 | hour | $27.78 | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| OhioUnlicensed (bachelor's/master's) behavioral health practitioner · Ohio Medicaid (fee-for-service) | $27.17since 2024-01-01 | hour | $27.17 | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| TexasCase manager / support coordinator · Texas Medicaid (fee-for-service, TMHP) | $24.32since 2017-04-01 | hour | $24.32 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Case |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $21.00since 2023-10-01 | hour | $21.00 | Not classified | — | Rehab Option DHR Fee Schedule |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $20.41since 2004-01-01 | hour | $20.41 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $18.30since 2008-07-01 | hour | $18.30 | Plans negotiate; applies out of network | — | ForwardHealth interactive max fee schedu |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $16.57since 2024-01-01 | hour | $16.57 | Plans negotiate; applies out of network | — | HCA Specialized mental health fee schedu |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $16.16since 2024-07-01 | hour | $16.16 | Plans must pay at least this | — | Iowa Medicaid fee schedule #21 COMMUNITY |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $15.00since 2004-01-01 | hour | $15.00 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid Rehabilitation Option (MRO) community mental health services | $14.62since 2010-07-01 | hour | $14.62 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $13.46since 2026-10-01 | hour | $13.46 | Suggested schedule for plans | — | AHCCCS MCO Fee Schedule Final MCO Behavi |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $12.67since 2019-07-01 | hour | $12.67 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Psy |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $12.61since 2026-01-01 | hour | $12.61 | Plans negotiate; applies out of network | — | Community Behavioral Health Services Fee |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $10.76since 2020-01-01 | hour | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
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 H2012?
It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $22.66. California pays the most ($466.50 per >4.0 hours) and Kentucky the least ($10.76 per hour).
Which state pays the highest Medicaid rate for H2012?
California, at $466.50 per >4.0 hours, effective 2026-07-01.
Do managed-care plans pay the same rate for H2012?
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 H2012 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.