G0323 Medicaid reimbursement rates by state
Care management services for behavioral health conditions. 8 state Medicaid programs publish a fee-for-service rate for G0323 at the physician psychologist level. Rates run from $33.16 in Michigan to $568.69 in California, with a median of $47.71.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $47.71units vary by state
- Highest
- $568.69California
- Medicare (non-facility)
- $54.25–$71.802026 physician fee schedule
G0323 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 |
|---|---|---|---|---|---|---|
| CaliforniaLicensed mental health clinician (LCSW, LMFT, LPC, licensed practitioner) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $568.69⚠ over 3× mediansince 2026-07-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $81.22since 2026-07-01 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| MissouriPhysician or licensed psychologist (incl. BCBA-D) · Missouri MO HealthNet (fee-for-service) | $52.98since 2024-04-15 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Behavioral He |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $52.38since 2025-01-01 | — | — | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado behavioral health services paid fee-for-service by HCPF (outside the RAE capitation) | $43.03since 2026-07-01 | per calendar month | — | Paid by the state, outside plans | — | Integrated Care Fee Schedule FY26-27 |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $41.96since 2026-06-01 | — | — | Plans negotiate; applies out of network | — | Medicaid Fee-For-Service (FFS) Fee Sched |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $38.31since 2025-01-01 | — | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $33.16since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Non-Physician Behavioral Health Fe |
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 G0323?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $47.71. California pays the most ($568.69) and Michigan the least ($33.16).
Which state pays the highest Medicaid rate for G0323?
California, at $568.69, effective 2026-07-01.
Do managed-care plans pay the same rate for G0323?
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.