H2027 Medicaid reimbursement rates by state
Psychoeducational service, per 15 minutes. 15 state Medicaid programs publish a fee-for-service rate for H2027 at the physician psychologist level. Rates run from $4.20 in Alabama to $210.33 in California, with a median of $25.51.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 15
- Median rate
- $25.51units vary by state
- Highest
- $210.33California
- Medicare (non-facility)
- —not on the physician fee schedule
H2027 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 Organized Delivery System (DHCS county fee schedule / interim rates) | $210.33⚠ over 3× mediansince 2026-07-01 | 15 min | $841.32 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Problem Gambling Fund (state-funded gambling treatment, claims through the Carelon ASO) | $69.42since 2021-11-01 | 15 min | $277.68 | Not classified | — | FY2022 PBHS Fee Schedule – Mental Health |
| KentuckyPhysician or licensed psychologist (incl. BCBA-D) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $36.81since 2025-04-01 | 15 min | $147.24 | Plans negotiate; applies out of network | — | KY Medicaid Behavioral Health fee schedu |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $30.94since 2026-05-09 | 15 min | $123.76 | Not classified | — | Medicaid Youth Mental Health Fee Schedul |
| MinnesotaUnlicensed (bachelor's/master's) behavioral health practitioner · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $28.34since 2026-05-21 | 15 min | $113.36 | Plans must pay at least this | — | MH Procedure CPT or HCPC Codes and Rates |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $25.76since 2025-06-13 | 15 min | $103.04 | Not classified | — | Arkansas Medicaid Counseling and Crisis |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $25.61since 2017-07-01 | 15 min | $102.44 | Not classified | — | DMAS procedure fee file hcpcmedical.csv |
| TexasSelf-directed worker (hired by the person or family) · Texas Community Living Assistance and Support Services (CLASS) waiver | $25.51since 2025-09-01 | hour | $25.51 | Paid by the state, outside plans | — | HHSC PFD CLASS payment rates (9-1-2025-c |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $17.85since 2024-01-01 | 15 min | $71.40 | Plans negotiate; applies out of network | — | HCA Specialized mental health fee schedu |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $15.60since 2026-07-01 | 15 min | $62.40 | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $13.36since 2026-10-01 | 15 min | $53.44 | Suggested schedule for plans | — | AHCCCS MCO Fee Schedule Final MCO Behavi |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $10.05since 2023-07-01 | 15 min | $40.20 | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $10.00since 2013-01-01 | 15 min | $40.00 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $5.50since 2026-07-01 | 15 min | $22.00 | Plans must pay at least this | — | Rates for Certain Substance-Related and |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $4.20since 2023-10-01 | 15 min | $16.80 | Not classified | — | Rehab Option DHR Fee Schedule |
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 H2027?
It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $25.51. California pays the most ($210.33 per 15 min) and Alabama the least ($4.20 per 15 min).
Which state pays the highest Medicaid rate for H2027?
California, at $210.33 per 15 min ($841.32 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for H2027?
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.