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99282 Medicaid reimbursement rates by state

Crisis intervention (behavioral health). 35 state Medicaid programs publish a fee-for-service rate for 99282 at the physician psychologist level. Rates run from $21.46 in Ohio to $110.23 in Wisconsin, with a median of $31.78.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
35
Median rate
$31.78units vary by state
Highest
$110.23Wisconsin
Medicare (non-facility)
—not on the physician fee schedule

99282 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
WisconsinPhysician or licensed psychologist (incl. BCBA-D) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$110.23⚠ over 3× mediansince 2022-09-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Mntl Hlt
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$64.40since 2026-09-24——Not classified—Teaching Facility Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$60.80since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
NebraskaPhysician or licensed psychologist (incl. BCBA-D) · Nebraska Medicaid (fee-for-service)$45.70since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid Mental Health and Subs
MarylandPhysician or licensed psychologist (incl. BCBA-D) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO)$42.75since 2024-09-01——Paid by the state, outside plans—FY2025 PBHS Fee Schedule – Individual Pr
GeorgiaPhysician or licensed psychologist (incl. BCBA-D) · Georgia Medicaid (fee-for-service)$41.37since 2020-08-14——Plans negotiate; applies out of network—Max Allow Pymt Physician Enhanced Rate C
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$41.09since 2021-11-17——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$38.45since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$38.21since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$37.88since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$36.50since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$36.00since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Optometrist a
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$35.00since 2025-05-15——Not classified—Arkansas Medicaid Oral Surgeon Fee Sched
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$34.80since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$34.61since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'ACA Nurse Prac
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$33.73since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$32.98since 2021-09-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$31.78since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$31.43since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$30.74since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$30.39since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid HIV Enhanced Fees for Physicians Program$30.30since 2022-04-01unit—Not classified—eMedNY Physician Enhanced Program Fee Sc
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$29.65since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$28.69since 2016-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$28.26since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$28.10since 2024-04-01——Plans negotiate; applies out of network—HFS Podiatrist Fee Schedule (effective 2
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$27.58since 2026-07-01——Plans must pay at least this—HCA Enhanced adult primary care fee sche
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$27.46since 2025-07-01——Plans must pay at least this—Specialized Behavioral Health Services f
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$26.62since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$26.00since 2025-07-01——Plans must pay at least this—NJMMIS Procedure Master Listing CPTHCPCS
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$25.77since 2026-01-01——Plans negotiate; applies out of network—MDHHS Vision Fee Schedule database, Janu
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$25.45since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$24.71since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$24.38since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$21.46since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit

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 99282?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $31.78. Wisconsin pays the most ($110.23) and Ohio the least ($21.46).

Which state pays the highest Medicaid rate for 99282?

Wisconsin, at $110.23, effective 2022-09-01.

Do managed-care plans pay the same rate for 99282?

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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