Missouri Medicaid behavioral health rates
Missouri Medicaid pays $20.33 for outpatient psychotherapy and diagnostic evaluation delivered by a licensed mental health clinician, effective July 1, 2022, the 12th highest of 12 states with comparable rates. Below: 5 more behavioral health rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Outpatient psychotherapy and diagnostic evaluation
- $20.33
- Rank among states
- 12 of 12-75.0% vs median
- Mental health counselor median wage
- $27.36BLS May 2025
- Missouri minimum wage
- $15.00
Missouri behavioral health rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Missouri's official fee schedule.
| Service | Provider level | Code | MO rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Mental health counseling | Licensed mental health clinician | Not published | $21.21 | $0.45 | $28.05 | 7 | ||||
| Outpatient psychotherapy and diagnostic evaluation | Licensed mental health clinician | 90853 | $20.33 | — | — | 12 of 12 | $81.18 | $20.33 | $302.03 | 12 |
| Mental health assessment (non-physician) | Physician or licensed psychologist | H0031 | $687.46 | — | — | 1 of 17 | $83.45 | $9.66 | $687.46 | 17 |
| Skills training and development | Bachelor's-level staff | H2014 | $14.01 | month | — | — | $47.80/hr | $10.00 | $104.24 | 13 |
| Therapeutic behavioral services | Physician or licensed psychologist | H2019 | $18.53 | 15 min | $74.12 | 6 of 13 | $73.48/hr | $19.52 | $825.88 | 13 |
| Mental health service plan development | Licensed mental health clinician | H0032 | $19.55 | — | — | 8 of 10 | $62.84 | $10.00 | $338.84 | 10 |
| Community-based wraparound services | Licensed mental health clinician | H2022 | $93.11 | day | — | — | $106.02/hr | $6.28 | $710.72 | 8 |
| Psychiatric residential treatment (daily) | All levels | Not published | $525.00/day | $283.19 | $1,244.07 | 9 | ||||
| Inpatient psychiatric stay (per day) | All levels | Not published | $886.49 | $623.70 | $1,435.69 | 6 | ||||
Outpatient psychotherapy and diagnostic evaluation: where Missouri ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | California | $302.03 | — | — | 2026-07-01 |
| 2 | Nebraska | $115.68 | — | — | 2026-07-01 |
| 3 | Texas | $85.32 | — | — | 2026-03-01 |
| 4 | Maryland | $84.67 | — | — | 2021-11-01 |
| 5 | North Carolina | $83.68 | — | — | 2025-10-01 |
| 6 | Colorado | $82.99 | — | — | 2026-07-01 |
| 7 | Georgia | $79.36 | — | — | 2017-01-01 |
| 8 | Washington | $76.89 | — | — | 2026-07-01 |
| 9 | Michigan | $68.48 | — | — | 2026-01-01 |
| 10 | Massachusetts | $63.68 | — | — | 2026-10-01 |
| 11 | Pennsylvania | $26.25 | — | — | 2020-01-17 |
| 12 | Missouri | $20.33 | — | — | 2022-07-01 |
What it costs to deliver in Missouri
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MO median | US median | vs US |
|---|---|---|---|
| Mental health counselor | $27.36 | $28.53 | -4.1% |
| Mental health social worker | $23.83 | $28.98 | -17.8% |
| Clinical psychologist | $47.79 | $48.36 | -1.2% |
| Psychiatrist | $150.33 | $135.51 | +10.9% |
| Nurse practitioner | $62.47 | $63.61 | -1.8% |
| Psychiatric technician | $22.04 | $21.70 | +1.6% |
Recent Missouri behavioral health rate changes
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.
Rates are taken from Missouri's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.