G0443 Medicaid reimbursement rates by state
Brief face-to-face behavioral counseling for alcohol misuse. 12 state Medicaid programs publish a fee-for-service rate for G0443 at the physician psychologist level. Rates run from $3.95 in Kansas to $48.36 in Montana, with a median of $27.67.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 12
- Median rate
- $27.67units vary by state
- Highest
- $48.36Montana
- Medicare (non-facility)
- $32.49–$37.842026 physician fee schedule
G0443 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 |
|---|---|---|---|---|---|---|
| MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service) | $48.36since 2026-07-01 | 15 min | $193.44 | 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) | $35.87since 2025-01-01 | 15 min | $143.48 | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $30.09since 2026-01-01 | 15 min | $120.36 | Plans must pay at least this | — | Louisiana Medicaid Enhanced Professional |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $29.80since 2026-06-01 | 15 min | $119.20 | Plans negotiate; applies out of network | — | Medicaid Fee-For-Service (FFS) Fee Sched |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $28.58since 2026-01-01 | 15 min | $114.32 | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $27.79since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $27.55since 2026-02-01 | 15 min | $110.20 | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $20.84since 2018-01-01 | 15 min | $83.36 | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $20.41since 2011-10-17 | 15 min | $81.64 | Plans must pay at least this | — | Provider Type 77 Physician's Assistant R |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $19.81since 2024-09-01 | 15 min | $79.24 | Plans must pay at least this | — | 2026 Fee Schedule - Covered Procedures R |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $14.75since 2026-07-01 | 15 min | $59.00 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $3.95since 2012-01-01 | 15 min | $15.80 | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
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 G0443?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $27.67. Montana pays the most ($48.36 per 15 min) and Kansas the least ($3.95 per 15 min).
Which state pays the highest Medicaid rate for G0443?
Montana, at $48.36 per 15 min ($193.44 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for G0443?
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.