H2034 Medicaid reimbursement rates by state
Alcohol and/or drug abuse halfway house services, per diem. 14 state Medicaid programs publish a fee-for-service rate for H2034 at the agency level. Rates run from $37.78 in North Dakota to $271.44 in Kentucky, with a median of $159.91.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 14
- Median rate
- $159.91per day
- Highest
- $271.44Kentucky
- Medicare (non-facility)
- —not on the physician fee schedule
H2034 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 |
|---|---|---|---|---|---|---|
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $271.44since 2024-04-01 | day | — | Plans negotiate; applies out of network | — | KY Medicaid Behavioral Health fee schedu |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $219.25since 2024-01-01 | day | — | Plans negotiate; applies out of network | — | DMAP 2024 Physician Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $196.88since 2021-07-01 | day | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $193.27since 2026-07-01 | day | — | Not classified | — | MaineCare Section 97 PNMI Appendix B Sub |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $187.01since 2026-01-01 | day | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $176.15since 2026-01-01 | day | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| OhioAgency provider · Ohio Medicaid (fee-for-service) | $172.02since 2024-01-01 | day | — | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $147.79since 2025-07-01 | day | — | Not classified | — | Substance Use Disorder (Chemical Depende |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $147.03since 2024-01-01 | day | — | Plans must pay at least this | — | 2026 Fee Schedule - Covered Procedures R |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $144.54since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $120.26since 2026-01-01 | day | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $75.55since 2025-01-01 | day | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma ODMHSAS state-funded behavioral health services (non-Medicaid 'State Rate') | $75.00since 2022-07-01 | day | — | Not classified | — | ODMHSAS PICIS 'Rates and Codes for Agenc |
| North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service) | $37.78since 2026-07-01 | day | — | Not classified | — | ND Medicaid Behavioral Health Services F |
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 H2034?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $159.91 per day. Kentucky pays the most ($271.44 per day) and North Dakota the least ($37.78 per day).
Which state pays the highest Medicaid rate for H2034?
Kentucky, at $271.44 per day, effective 2024-04-01.
Do managed-care plans pay the same rate for H2034?
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.