H2015 Medicaid reimbursement rates by state
Comprehensive community support services, per 15 minutes. 24 state Medicaid programs publish a fee-for-service rate for H2015 at the physician psychologist level. Rates run from $2.44 in Florida to $235.82 in California, with a median of $24.81.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 24
- Median rate
- $24.81units vary by state
- Highest
- $235.82California
- Medicare (non-facility)
- —not on the physician fee schedule
H2015 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 Drug Medi-Cal in State Plan (non-ODS) counties | $235.82⚠ over 3× mediansince 2026-07-01 | 15 min | $943.28 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $115.15⚠ over 3× mediansince 2024-07-01 | 15 min | $460.60 | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – BH Crisis Ser |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $67.45since 2026-07-01 | 15 min | $269.80 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $67.08since 2025-06-13 | 15 min | $268.32 | Not classified | — | Arkansas Medicaid Nurse Practitioner Fee |
| New JerseyPhysician or licensed psychologist (incl. BCBA-D) · New Jersey DMHAS Mental Health Fee-for-Service (state-funded payments for people without Medicaid coverage) | $48.53since 2019-07-01 | 15 min | $194.12 | Not classified | — | DMHAS MH Fee-for-Service NJMHAPP Code an |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $35.95since 2024-07-01 | 15 min | $143.80 | Plans negotiate; applies out of network | — | Rates for Early Intervention Program Ser |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $31.69since 2025-09-01 | 15 min | $126.76 | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $29.31since 2025-10-01 | 15 min | $117.24 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $29.07since 2026-07-01 | 15 min | $116.28 | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Mental Health Waiver (WISE, DMHAS-operated 1915(c)) | $26.31since 2021-07-01 | 15 min | $105.24 | Not classified | — | CMAP fee schedule: Mental Health Waiver |
| 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 |
| KentuckyPhysician or licensed psychologist (incl. BCBA-D) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $24.83since 2020-01-01 | 15 min | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $24.78since 2023-01-01 | 15 min | $99.12 | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $18.63since 2024-01-01 | 15 min | $74.52 | Plans must pay at least this | — | HCA Specialized mental health fee schedu |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana PRTF Transition Waiver (youth leaving psychiatric residential treatment) | $15.00since 2012-10-01 | 15 min | $60.00 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| IllinoisBehavior analyst (BCBA / licensed behavior analyst) · Illinois Medicaid (HFS fee-for-service) | $10.67since 2024-01-01 | 1/4 hr | — | Plans negotiate; applies out of network | — | HFS Community Based Behavioral Services |
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS Brain Injury (BI) 1915(c) waiver | $10.20since 2025-08-01 | 15 min | — | Plans must pay at least this | — | HCBS Consumer Choice Option Rates Effect |
| GeorgiaSelf-directed worker (hired by the person or family) · Georgia Comprehensive Supports Waiver (COMP) for people with IDD | $8.93since 2023-04-01 | 15 min | $35.72 | Paid by the state, outside plans | — | Comprehensive Supports Waiver - Chapters |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $6.53since 2007-07-01 | 15 min | $26.12 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $6.38since 2026-07-01 | 15 min | $25.52 | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Essential Community Supports (ECS, state-funded) | $4.55since 2026-01-01 | 15 min | $18.20 | Not classified | — | Long-Term Services and Supports Service |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $3.04since 2026-10-01 | 15 min | $12.16 | Suggested schedule for plans | — | AHCCCS MCO Fee Schedule Final MCO Behavi |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $2.90since 2022-07-01 | 15 min | $11.60 | Plans must pay at least this | — | ODMHSAS PICIS 'Rates and Codes for Agenc |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $2.44since 2026-01-01 | per quarter hour | — | Paid by the state, outside plans | — | Community-Based Substance Abuse County M |
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 H2015?
It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $24.81. California pays the most ($235.82 per 15 min) and Florida the least ($2.44 per per quarter hour).
Which state pays the highest Medicaid rate for H2015?
California, at $235.82 per 15 min ($943.28 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for H2015?
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 H2015 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.