H2019 Medicaid reimbursement rates by state
Therapeutic behavioral services, per 15 minutes. 25 state Medicaid programs publish a fee-for-service rate for H2019 at the physician psychologist level. Rates run from $4.88 in Arizona to $206.47 in California, with a median of $20.79.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 25
- Median rate
- $20.79units vary by state
- Highest
- $206.47California
- Medicare (non-facility)
- —not on the physician fee schedule
H2019 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 Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $206.47⚠ over 3× mediansince 2026-07-01 | 15 min | $825.88 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $39.84since 2024-08-01 | 1/4 hr | — | Plans negotiate; applies out of network | — | HFS Community Based Behavioral Services |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $36.35since 2024-01-01 | 15 min | $145.40 | Plans negotiate; applies out of network | — | HCA Specialized mental health fee schedu |
| OhioMaster's-level staff · Ohio Medicaid (fee-for-service) | $32.24since 2024-01-01 | 15 min | $128.96 | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| LouisianaPhysician or licensed psychologist (incl. BCBA-D) · Louisiana Residential Options Waiver (ROW, OCDD/OIDD 1915(c) waiver) | $31.25since 2025-11-18 | 15 min | $125.00 | Paid by the state, outside plans | — | Residential Options Waiver rate and proc |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $31.06since 2021-12-01 | 15 min | $124.24 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $30.15since 2022-07-01 | 15 min | $120.60 | Plans must pay at least this | — | Iowa Medicaid fee schedule #48 CLINICAL |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $29.54since 2026-07-01 | 15 min | $118.16 | Plans must pay at least this | — | Rates for Certain Substance-Related and |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $26.93since 2025-09-01 | 15 min | $107.72 | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $25.86since 2024-07-01 | 15 min | $103.44 | Not classified | — | CMAP fee schedule: Clinic and Outpatient |
| 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 |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Independent Care Waiver Program (adults with physical disabilities or brain injury) | $22.34since 2024-07-01 | 15 min | $89.36 | Paid by the state, outside plans | — | Part II Policies and Procedures: Indepen |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania OBRA Waiver (adults with developmental physical disabilities) | $20.79since 2026-07-01 | 15 min | $83.16 | Not classified | — | OLTL Home and Community Based Waiver Ser |
| AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Intellectual Disabilities (ID) 1915(c) waiver (AL.0001; ADMH-DDD operated) | $19.50since 2024-01-05 | 15 min | $78.00 | Not classified | — | ADMH-DDD ID / LAH Waiver Procedure Codes |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $18.53since 2019-07-01 | 15 min | $74.12 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Psy |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid Rehabilitation Option (MRO) community mental health services | $18.37since 2010-07-01 | 15 min | $73.48 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $16.77since 2025-06-13 | 15 min | $67.08 | Not classified | — | Arkansas Medicaid Nurse Practitioner Fee |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $14.55since 2026-08-13 | 15 min | $58.20 | Not classified | — | SCDHHS ASD Services Fee Schedule |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $9.28since 2026-07-01 | 15 min | $37.12 | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $7.52since 2024-05-22 | 15 min | $30.08 | 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) | $6.73since 2026-01-01 | per quarter hour | — | Plans negotiate; applies out of network | — | Community Behavioral Health Services Fee |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $6.03since 2026-05-21 | 15 min | $24.12 | Plans must pass increases through | — | MH Procedure CPT or HCPC Codes and Rates |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $5.62since 2025-01-01 | 15 min | $22.48 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $5.36since 2025-03-01 | 15 min | $21.44 | Plans negotiate; applies out of network | — | ForwardHealth interactive max fee schedu |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $4.88since 2026-10-01 | 15 min | $19.52 | Plans negotiate; applies out of network | — | AHCCCS FFS Fee Schedule Final FFS Behavi |
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 H2019?
It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $20.79. California pays the most ($206.47 per 15 min) and Arizona the least ($4.88 per 15 min).
Which state pays the highest Medicaid rate for H2019?
California, at $206.47 per 15 min ($825.88 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for H2019?
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.
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Track H2019 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.