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G0018 Medicaid reimbursement rates by state

Psychotherapy for crisis furnished in an applicable site of.... 6 state Medicaid programs publish a fee-for-service rate for G0018 at the physician psychologist level. Rates run from $12.30 in New Jersey to $147.89 in Montana, with a median of $86.18.

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

States publishing
6
Median rate
$86.18units vary by state
Highest
$147.89Montana
Medicare (non-facility)
$101.93–$114.662026 physician fee schedule

G0018 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
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$147.89since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$103.46since 2024-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$87.61since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$84.75since 2024-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$24.81since 2024-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$12.30since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 G0018?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $86.18. Montana pays the most ($147.89) and New Jersey the least ($12.30).

Which state pays the highest Medicaid rate for G0018?

Montana, at $147.89, effective 2026-07-01.

Do managed-care plans pay the same rate for G0018?

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 Physician & professional codes

Track G0018 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state