96152 Medicaid reimbursement rates by state
Health behavior counseling, one person (retired code). 6 state Medicaid programs publish a fee-for-service rate for 96152 at the physician psychologist level. Rates run from $8.62 in Michigan to $28.41 in Georgia, with a median of $20.68.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $20.68units vary by state
- Highest
- $28.41Georgia
- Medicare (non-facility)
- —not on the physician fee schedule
96152 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 |
|---|---|---|---|---|---|---|
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Independent Care Waiver Program (adults with physical disabilities or brain injury) | $28.41since 2024-07-01 | per unit | — | Paid by the state, outside plans | — | Part II Policies and Procedures: Indepen |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $25.00since 2013-03-25 | — | — | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid School Program (school-based services) | $21.21since 2020-06-12 | — | — | Paid by the state, outside plans | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Intellectual and Developmental Disabilities (IDD) 1915(c) waiver (DDS) | $20.15since 2025-07-01 | — | — | Not classified | — | REFRP00178CSV - Medical Fee Schedule Rep |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $18.17since 2025-10-01 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Local Health D |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $8.62since 2018-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Non-Physician Behavioral Health Fe |
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 96152?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $20.68. Georgia pays the most ($28.41 per per unit) and Michigan the least ($8.62).
Which state pays the highest Medicaid rate for 96152?
Georgia, at $28.41 per per unit, effective 2024-07-01.
Do managed-care plans pay the same rate for 96152?
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.