H2023 Medicaid reimbursement rates by state
Supported employment, per 15 minutes. 23 state Medicaid programs publish a fee-for-service rate for H2023 at the agency level. Rates run from $0.01 in Rhode Island to $1,071.25 in California, with a median of $16.46.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 23
- Median rate
- $16.46units vary by state
- Highest
- $1,071.25California
- Medicare (non-facility)
- —not on the physician fee schedule
H2023 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 Drug Medi-Cal Organized Delivery System (DHCS county fee schedule / interim rates) | $1,071.25since 2026-07-01 | 2.0 to 3.0 Encounters (1.0 encounters must be FTF*) | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Developmental Disabilities Program 0208 Comprehensive Waiver (1915(c), fee-for-service) | $59.21since 2025-07-01 | Staff Hour | — | Not classified | — | Montana Healthcare Programs Fee Schedule |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $26.84since 2024-07-01 | 15 min | $107.36 | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| TexasAgency provider · Texas Home and Community-Based Services - Adult Mental Health (HCBS-AMH, 1915(i)) | $26.07since 2025-09-01 | hour | $26.07 | Not classified | — | HHSC PFD HCBS-AMH payment rates (9-1-202 |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $25.59since 2022-10-12 | 15 min | $102.36 | Not classified | — | Arkansas Medicaid Adult Behavioral Healt |
| OhioAgency provider · Ohio Specialized Recovery Services (1915(i) for adults with serious mental illness) | $22.02since 2024-01-01 | 15 min | $88.08 | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $19.73since 2025-10-01 | 15 min | $78.92 | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana New Opportunities Waiver (NOW, OCDD/OIDD 1915(c) waiver for people with intellectual/developmental disabilities) | $18.50since 2025-11-18 | 15 min | $74.00 | Paid by the state, outside plans | — | New Opportunities Waiver rate and proced |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware PROMISE 1915(i) behavioral health HCBS (DSAMH) | $18.30since 2022-03-25 | 15 min | $73.20 | Paid by the state, outside plans | — | PROMISE Home and Community-Based Service |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $17.99since 2026-07-01 | 15 min | $71.96 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Mental Health Waiver (WISE, DMHAS-operated 1915(c)) | $17.09since 2021-07-01 | 15 min | $68.36 | Not classified | — | CMAP fee schedule: Mental Health Waiver |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $16.46since 2026-07-01 | 15 min | $65.84 | Paid by the state, outside plans | — | DD, SLS, CES (effective July 1, 2026) |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Money Follows the Person (TBI track) | $11.91since 2023-07-01 | 15 min | $47.64 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| 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) | $11.72since 2024-07-01 | 15 min | $46.88 | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – PRP and Speci |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $11.51since 2010-01-01 | 15 min | $46.04 | Plans negotiate; applies out of network | — | ForwardHealth interactive max fee schedu |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Adults with Developmental Disabilities 1915(c) Waiver (ID.0076) | $11.44since 2026-07-01 | 15 min | $45.76 | Paid by the state, outside plans | — | Adult Developmental Disabilities Waiver |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi HCBS Intellectual Disabilities/Developmental Disabilities (ID/DD) 1915(c) waiver | $11.01since 2026-01-01 | 15 min | $44.04 | Paid by the state, outside plans | — | MS DOM ID/DD Waiver fee schedule (Intell |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania ODP intellectual disability/autism waivers (Consolidated, Community Living, Person/Family Directed Support) and base-funded services | $10.72since 2024-10-01 | 15-minute unit | — | Not classified | — | 54 Pa.B. 5541: Fee Schedule Rates and De |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $9.72since 2022-07-01 | 15 min | $38.88 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Developmental Disabilities 1915(c) waiver | $7.39since 2024-01-01 | 15 min | $29.56 | Paid by the state, outside plans | — | 2024 Fee Schedule - DD Waiver Fee Schedu |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare Home and Community Based Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder (MBM Section 21 waiver, fee-for-service) | $5.35since 2026-01-01 | 15 min | $21.40 | Not classified | — | MaineCare Section 21 ID/ASD Comprehensiv |
| IowaAny qualified provider (rate does not vary by provider) · Iowa HCBS Brain Injury (BI) 1915(c) waiver | $2.07since 2025-08-01 | — | — | Plans must pay at least this | — | HCBS Consumer Choice Option Rates Effect |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid behavioral health programs (CMHC, ACT, BH Link, peer, SUD, health homes; fee-for-service) | $0.01since 2016-01-01 | 15 min | $0.04 | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For 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 H2023?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $16.46. California pays the most ($1,071.25 per 2.0 to 3.0 Encounters (1.0 encounters must be FTF*)) and Rhode Island the least ($0.01 per 15 min).
Which state pays the highest Medicaid rate for H2023?
California, at $1,071.25 per 2.0 to 3.0 Encounters (1.0 encounters must be FTF*), effective 2026-07-01.
Do managed-care plans pay the same rate for H2023?
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 H2023 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.