H2013 Medicaid reimbursement rates by state
Psychiatric health facility service, per diem. 9 state Medicaid programs publish a fee-for-service rate for H2013 at the agency level. Rates run from $161.89 in Massachusetts to $1,612.16 in California, with a median of $283.19.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 9
- Median rate
- $283.19units vary by state
- Highest
- $1,612.16California
- Medicare (non-facility)
- —not on the physician fee schedule
H2013 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) | $1,612.16since 2026-07-01 | 24 Hour | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $1,181.42⚠ over 3× mediansince 2024-07-01 | day | — | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $460.00since 2024-07-01 | day | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #81 SUBACUTE |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $448.73since 2024-01-01 | day | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $283.19since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $235.73since 2023-10-01 | day | — | Plans must pay at least this | — | MO HealthNet fee schedule: Behavioral He |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $190.33since 2024-07-01 | day | — | Not classified | — | CMAP fee schedule: Clinic and Outpatient |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $181.17since 2025-09-01 | day | — | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $161.89since 2025-09-01 | day | — | Plans must pay at least this | — | Rates for Mental Health Services Provide |
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 H2013?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $283.19. California pays the most ($1,612.16 per 24 Hour) and Massachusetts the least ($161.89 per day).
Which state pays the highest Medicaid rate for H2013?
California, at $1,612.16 per 24 Hour, effective 2026-07-01.
Do managed-care plans pay the same rate for H2013?
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.