G0542 Medicaid reimbursement rates by state
Caregiver training in direct care strategies and techniques.... 6 state Medicaid programs publish a fee-for-service rate for G0542 at the physician psychologist level. Rates run from $18.48 in Ohio to $208.87 in California, with a median of $24.81.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $24.81per 15 min
- Highest
- $208.87California
- Medicare (non-facility)
- $25.36–$31.582026 physician fee schedule
G0542 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 |
|---|---|---|---|---|---|---|
| CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $208.87⚠ over 3× mediansince 2026-07-01 | 15 min | $835.48 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service) | $36.62since 2026-07-01 | 15 min | $146.48 | 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) | $24.90since 2025-01-01 | 15 min | $99.60 | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $24.71since 2026-06-01 | 15 min | $98.84 | Plans negotiate; applies out of network | — | Medicaid Fee-For-Service (FFS) Fee Sched |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $21.08since 2026-02-01 | 15 min | $84.32 | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $18.48since 2025-01-01 | 15 min | $73.92 | 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 G0542?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $24.81 per 15 min. California pays the most ($208.87 per 15 min) and Ohio the least ($18.48 per 15 min).
Which state pays the highest Medicaid rate for G0542?
California, at $208.87 per 15 min ($835.48 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for G0542?
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.