Addiction (substance use) counseling: Medicaid rates by state
10 states publish a Medicaid rate for addiction (substance use) counseling, compared at the physician psychologist level. Per hour, rates range from — in Virginia to $124.24 in Maryland.
- States
- 10
- Median per hour
- $64.68
- Highest
- $124.24Maryland
- Lowest
- —Virginia
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | MarylandAny qualified provider (rate does not vary by provider) | $31.06 | 15 min | $124.24 | 2024-07-01 | Official source |
| 2 | ColoradoAny qualified provider (rate does not vary by provider) | $21.78 | 15 min | $87.12 | 2026-07-01 | Official source |
| 3 | OhioPhysician or licensed psychologist (incl. BCBA-D) | $10.56 | 15 min | $42.24 | 2024-01-01 | Official source |
| 4 | IndianaAny qualified provider (rate does not vary by provider) | $14.58 | hour | $14.58 | 2020-04-01 | Official source |
| 5 | IllinoisAny qualified provider (rate does not vary by provider) | $306.55 | day | — | 2025-07-01 | Official source |
| 6 | CaliforniaPhysician or licensed psychologist (incl. BCBA-D) | $226.06 | — | — | 2026-07-01 | Official source |
| 7 | MinnesotaAny qualified provider (rate does not vary by provider) | $34.00 | — | — | 2011-07-01 | Official source |
| 8 | FloridaAny qualified provider (rate does not vary by provider) | $15.00 | per quarter unit | — | 2026-01-01 | Official source |
| 9 | WashingtonAny qualified provider (rate does not vary by provider) | $15.00 | EA | — | 2021-07-01 | Official source |
| 10 | VirginiaAny qualified provider (rate does not vary by provider) | $7.72 | — | — | 2025-07-01 | Official source |
Frequently asked questions
Which state pays the most for addiction (substance use) counseling?
Maryland: $31.06 per 15 min ($124.24 per hour).
What is the average Medicaid rate for addiction (substance use) counseling?
Across 10 states the median is $64.68 per hour, comparing the same provider level in each state.
Other Behavioral health services
Mental health counseling19 statesSkills training and development17 statesTherapeutic behavioral services16 statesMental health service plan development13 statesPeer support (behavioral health)11 statesPsychosocial rehabilitation11 statesComprehensive community support services11 statesTherapeutic behavioral services (daily rate)11 statesPsychiatric partial hospitalization10 states
Addiction (substance use) counseling in your statesRates, plan rules, labor costs and changes, with alerts.