H2035 Medicaid reimbursement rates by state
Alcohol and/or other drug treatment program, per hour. 6 state Medicaid programs publish a fee-for-service rate for H2035 at the physician psychologist level. Rates run from $53.64 in South Carolina to $841.34 in California, with a median of $59.51.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $59.51per hour
- Highest
- $841.34California
- Medicare (non-facility)
- —not on the physician fee schedule
H2035 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) | $841.34⚠ over 3× mediansince 2026-07-01 | hour | $841.34 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $72.11since 2024-03-05 | hour | $72.11 | Plans must pass increases through | — | MHCP Fee Schedule (Wayback capture 20250 |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $60.69since 2022-03-01 | hour | $60.69 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Outpa |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid Rehabilitation Option (MRO) community mental health services | $58.32since 2010-07-01 | hour | $58.32 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $56.85since 2025-10-01 | hour | $56.85 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $53.64since 2025-12-01 | hour | $53.64 | Not classified | — | SCDHHS RBHS Substance Use Services Fee S |
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 H2035?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $59.51 per hour. California pays the most ($841.34 per hour) and South Carolina the least ($53.64 per hour).
Which state pays the highest Medicaid rate for H2035?
California, at $841.34 per hour ($841.34 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for H2035?
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.