T1023 Medicaid reimbursement rates by state
Screening to determine the appropriateness of consideration.... 18 state Medicaid programs publish a fee-for-service rate for T1023 at the physician psychologist level. Rates run from $9.70 in South Carolina to $709.55 in Maryland, with a median of $30.47.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 18
- Median rate
- $30.47units vary by state
- Highest
- $709.55Maryland
- Medicare (non-facility)
- —not on the physician fee schedule
T1023 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 |
|---|---|---|---|---|---|---|
| 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) | $709.55⚠ over 3× mediansince 2024-07-01 | — | — | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – PRP and Speci |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $110.75⚠ over 3× mediansince 2024-01-01 | — | — | Plans negotiate; applies out of network | — | HCA Specialized mental health fee schedu |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Community First Services and Supports (CFSS) | $100.00since 2026-04-01 | Per Session | — | Paid by the state, outside plans | — | Long-Term Services and Supports Service |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $94.49⚠ over 3× mediansince 2023-10-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Maternal Infant Health Program, Oc |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $89.09since 2025-10-01 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Local Health D |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $45.88since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Rates for Early Intervention Program Ser |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $44.29since 2026-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Tuber |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $44.01since 2026-01-01 | one time | — | Plans negotiate; applies out of network | — | Community Behavioral Health Services Fee |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $30.94since 2024-01-01 | — | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $30.00since 2026-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| OhioPhysician or licensed psychologist (incl. BCBA-D) · Ohio Medicaid (fee-for-service) | $30.00since 2024-01-01 | encounter | — | Plans expected to pay at least this | — | ODM Behavioral Health Coding Workbook (1 |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $29.18since 2026-10-01 | — | — | Plans expected to pay at least this | — | AHCCCS Final FFS Home and Community Base |
| PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service) | $20.00since 2021-09-01 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $13.04since 2021-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $12.56since 2019-07-01 | — | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Psy |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal school-based services (Local Educational Agency) | $12.34since 2026-10-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $10.00since 2019-03-20 | — | — | Plans must pay at least this | — | Louisiana Medicaid EPSDT Health Services |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $9.70since 2011-04-08 | — | — | Not classified | — | SCDHHS Pediatric Subspecialty and Neonat |
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 T1023?
It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $30.47. Maryland pays the most ($709.55) and South Carolina the least ($9.70).
Which state pays the highest Medicaid rate for T1023?
Maryland, at $709.55, effective 2024-07-01.
Do managed-care plans pay the same rate for T1023?
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.