Behavioral health residence rate component (facility-specific): Medicaid rates by state

This is a service-level benchmark rather than a single code: each state's headline rate for behavioral health residence rate component (facility-specific) is chosen to match the same service and the same 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 1 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. 1 of the 1 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. 817 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 $323.72; the lowest, Maine, pays $323.72. 1 of the 1 states pay above the median of —. Common reasons rates for behavioral health services spread this way:

• Many states pay behavioral health services differently by the practitioner's credential, from psychiatrist and psychologist to licensed clinical social worker, counselor and peer specialist.
• 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.

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.