Long-term behavioral health residential (non-medical): Medicaid rates by state

States publish long-term behavioral health residential (non-medical) under their own codes, modifiers and units. To compare them, this page picks the rate in each state that matches the same service and provider level.

• Provider level. States are compared at the same provider level wherever the schedule distinguishes one. Rates for other levels on file (any qualified provider) are kept separate, never mixed into this ranking.
• Unit. All 4 states publish their headline rate per day, so the amounts compare directly. The ranking uses the rate as published, so read the unit before comparing two states.
• Variants. 3 of the 4 states publish more than one rate for this service (by modifier, program, setting or provider type); the headline rate is the one that matches the comparison, and the workspace lists every variant.
• Depth. 44 rates for this service are on file across all states, versions and provider levels; this page shows one headline rate per state.

The highest-paying state, Maine, pays $632.30; the lowest, Colorado, pays $131.28, a 4.8x gap. 4 of the 4 states pay above the median of —. Common reasons rates for behavioral health services spread this way:

• States add enhanced rates for crisis services, certified community behavioral health clinics and integrated care that sit outside the base schedule.
• Community mental health and substance use services are often billed under H and T codes that each state defines for itself, so the same code can describe a different service in two states.
• Behavioral health is frequently run through a separate state agency, a carve-out or a specialty plan, with its own rate-setting cycle.

Billing notes

Modifiers such as HO (master's level), HN (bachelor's level) and HP (doctoral level) identify the practitioner, and many states publish a different rate for each. Psychotherapy codes are defined by session length, so one unit is one session of the stated duration; H codes are billed in whatever unit the state defines, often 15 minutes, an hour or a day.