90840 Medicaid reimbursement rates by state
Crisis intervention (behavioral health). 24 state Medicaid programs publish a fee-for-service rate for 90840 at the physician psychologist level. Rates run from $39.42 in South Carolina to $412.94 in California, with a median of $63.20.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 24
- Median rate
- $63.20units vary by state
- Highest
- $412.94California
- Medicare (non-facility)
- $74.10–$91.692026 physician fee schedule
90840 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $412.94⚠ over 3× mediansince 2026-07-01 | 30 min | $825.88 | Paid by the state, outside plans | 450–518% | Medi-Cal Behavioral Health Fee Schedules |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $126.42since 2025-01-01 | Unit = 1 service | — | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service) | $104.40since 2025-06-13 | 30 min | $208.80 | Not classified | 141% | Arkansas Medicaid Physician / CRNA / Fam |
| OhioAgency provider · Ohio Medicaid (fee-for-service) | $92.40since 2024-01-01 | Additional 30 Minutes | — | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| MassachusettsPhysician or licensed psychologist (incl. BCBA-D) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $85.57since 2025-09-01 | 30 min | $171.14 | Plans must pay at least this | — | Rates for Mental Health Services Provide |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $84.52since 2024-01-01 | 30 min | $169.04 | Plans negotiate; applies out of network | 110% | DMAS procedure fee file cptmedical4.csv |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $78.36since 2024-07-01 | 30 min | $156.72 | Plans negotiate; applies out of network | 98–102% | OHP FFS behavioral health fee schedule ( |
| WisconsinPhysician or licensed psychologist (incl. BCBA-D) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $75.52since 2022-01-01 | 30 min | $151.04 | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Mntl Hlt |
| MissouriPhysician or licensed psychologist (incl. BCBA-D) · Missouri MO HealthNet (fee-for-service) | $71.17since 2022-07-01 | 30 min | $142.34 | Plans must pay at least this | 93–96% | MO HealthNet fee schedule: Behavioral He |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Problem Gambling Fund (state-funded gambling treatment, claims through the Carelon ASO) | $69.84since 2021-11-01 | 30 min | $139.68 | Not classified | 88–90% | FY2022 PBHS Fee Schedule – Mental Health |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $64.04since 2026-05-21 | 30 min | $128.08 | Plans must pay at least this | — | MH Procedure CPT or HCPC Codes and Rates |
| North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service) | $63.45since 2024-01-01 | 30 min | $126.90 | Plans must pay at least this | 84% | NC Medicaid fee schedule 'Physician Assi |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $62.94since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $62.86since 2016-05-01 | 30 min | $125.72 | Plans must pay at least this | — | ODMHSAS PICIS 'Rates and Codes for Agenc |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $62.35since 2024-08-01 | 30 min | $124.70 | Paid by the state, outside plans | 83% | KMAP Fee Schedule MKN Medicaid (FeeSched |
| New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service) | $61.85since 2025-07-01 | 30 min | $123.70 | Plans negotiate; applies out of network | 73–81% | eMedNY Clinical Psychology Procedure Cod |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $60.02since 2024-01-01 | 30 min | $120.04 | Plans must pay at least this | 80% | Iowa Medicaid fee schedule #02 PHYSICIAN |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado behavioral health services paid fee-for-service by HCPF (outside the RAE capitation) | $59.48since 2026-07-01 | 30 min | $118.96 | Paid by the state, outside plans | 75% | Behavioral Health Fee-for-Service Rates |
| NebraskaPhysician or licensed psychologist (incl. BCBA-D) · Nebraska Medicaid (fee-for-service) | $57.74since 2026-07-01 | 30 min | $115.48 | Plans negotiate; applies out of network | 77% | Nebraska Medicaid Mental Health and Subs |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $55.45since 2017-01-01 | 30 min | $110.90 | Plans must pay at least this | 72% | Provider Type 26 Psychologist Reimbursem |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $50.79since 2020-01-01 | 30 min | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $49.20since 2025-07-01 | 30 min | $98.40 | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $49.20since 2026-01-01 | 30 min | $98.40 | Plans negotiate; applies out of network | 64–65% | MDHHS Child and Adolescent Health Center |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $39.42since 2024-07-01 | 30 min | $78.84 | Plans negotiate; applies out of network | 52% | SCDHHS Nurse Midwives Fee Schedule (sche |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for 90840?
It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $63.20. California pays the most ($412.94 per 30 min) and South Carolina the least ($39.42 per 30 min).
Which state pays the highest Medicaid rate for 90840?
California, at $412.94 per 30 min ($825.88 per hour), effective 2026-07-01.
How do Medicaid rates for 90840 compare with Medicare?
Where the billing units match, Medicaid pays between 52% and 484% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 90840?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.
Related Behavioral health codes
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Track 90840 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.