Pennsylvania Medicaid behavioral health rates
Pennsylvania Medicaid pays $11.83 per 15 min ($47.32 an hour) for mental health counseling delivered by a licensed mental health clinician, effective December 1, 2016. Below: 6 more behavioral health rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Mental health counseling
- $11.83per 15 min · $47.32/hr
- Rank among states
- —
- Mental health counselor median wage
- $25.01BLS May 2025
- Pennsylvania minimum wage
- $7.25
Pennsylvania behavioral health rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Pennsylvania's official fee schedule.
| Service | Provider level | Code | PA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Mental health counseling | Licensed mental health clinician | W0093 | $11.83 | 15 min | $47.32 | — | $21.21 | $0.45 | $28.05 | 7 |
| Outpatient psychotherapy and diagnostic evaluation | Licensed mental health clinician | 90791 | $26.25 | — | — | 11 of 12 | $81.18 | $20.33 | $302.03 | 12 |
| Mental health assessment (non-physician) | Physician or licensed psychologist | H0031 | $26.25 | — | — | 13 of 15 | $91.21 | $9.66 | $687.46 | 15 |
| Skills training and development | Agency provider | H2014 | $2.50 | 15 min | $10.00 | 12 of 12 | $44.08/hr | $10.00 | $104.24 | 12 |
| Therapeutic behavioral services | Physician or licensed psychologist | H2019 | $20.79 | 15 min | $83.16 | 5 of 12 | $73.80/hr | $19.52 | $825.88 | 12 |
| Mental health service plan development | Licensed mental health clinician | H0032 | $19.56 | 15 min | $78.24 | — | $81.85 | $13.67 | $338.84 | 8 |
| Community-based wraparound services | Behavior technician | H2021 | $9.16 | 15 min | $36.64 | 6 of 7 | $98.52/hr | $32.40 | $280.00 | 7 |
| Psychiatric residential treatment (daily) | All levels | Not published | $891.57/day | $283.19 | $1,244.07 | 6 | ||||
| Inpatient psychiatric stay (per day) | All levels | Not published | $877.34 | $623.70 | $1,435.69 | 5 | ||||
Mental health counseling: where Pennsylvania ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Washington | $28.05 | — | — | 2021-01-01 |
| 2 | Wisconsin | $27.43 | — | — | 2022-01-01 |
| 3 | Massachusetts | $22.95 | — | — | 2025-09-01 |
| 4 | Ohio | $21.21 | — | — | 2020-06-12 |
| 5 | North Carolina | $18.49 | — | — | 2025-10-01 |
| 6 | Michigan | $8.62 | — | — | 2018-01-01 |
| 7 | Minnesota | $0.45 | — | — | 2024-01-01 |
What it costs to deliver in Pennsylvania
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | PA median | US median | vs US |
|---|---|---|---|
| Mental health counselor | $25.01 | $28.53 | -12.3% |
| Mental health social worker | $23.21 | $28.98 | -19.9% |
| Clinical psychologist | $44.17 | $48.36 | -8.7% |
| Psychiatrist | $134.12 | $135.51 | -1.0% |
| Nurse practitioner | $62.57 | $63.61 | -1.6% |
| Psychiatric technician | $21.12 | $21.70 | -2.7% |
Recent Pennsylvania behavioral health rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Addition of Psychiatric Rehabilitation Services to the Medicaid State Plan and Medical Assistance Program Fee Schedule | effective | — | 2026-01-01 |
| CMS approved SDP preprint PA_Fee_BHI.BHO_Renewal_20260101-20261231 | approved_cms | — | 2026-01-01 |
| CMS approved SDP preprint PA_Fee_Oth_Renewal_20260101-20261231 | approved_cms | — | 2026-01-01 |
| Psychiatric Rehabilitation Services | enacted | — | — |
| CMS approved SDP preprint PA_Fee_BHI.BHO_Renewal_20250101-20251231 | approved_cms | — | 2025-01-01 |
| CMS approved SDP preprint PA_Fee_Oth_Renewal_20250101-20251231 | approved_cms | — | 2025-01-01 |
| Psychiatric Residential Treatment Facilities | proposed | — | — |
| CMS approved SDP preprint PA_Fee_BHI.BHO_Renewal_20240101-20241231 | approved_cms | — | 2024-01-01 |
| CMS approved SDP preprint PA_Fee_Oth_Renewal_20240101-20241231 | approved_cms | — | 2024-01-01 |
| Psychiatric Rehabilitation Services | proposed | — | — |
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 Pennsylvania'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.