H0003 Medicaid reimbursement rates by state
Alcohol and/or drug screening. 6 state Medicaid programs publish a fee-for-service rate for H0003 at the physician psychologist level. Rates run from $4.76 in New Jersey to $222.17 in California, with a median of $24.06.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $24.06units vary by state
- Highest
- $222.17California
- Medicare (non-facility)
- —not on the physician fee schedule
H0003 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 Drug Medi-Cal in State Plan (non-ODS) counties | $222.17since 2026-07-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $80.72since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Mntl Hlt |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Mental Health Services Plan (state-funded, non-Medicaid) | $25.95since 2025-07-01 | per test | — | Not classified | — | Substance Use Disorder Non-Medicaid Prov |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $22.16since 2018-04-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma ODMHSAS state-funded behavioral health services (non-Medicaid 'State Rate') | $19.10since 2024-05-22 | encounter | — | Not classified | — | ODMHSAS PICIS 'Rates and Codes for Agenc |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $4.76since 2025-01-01 | — | — | 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 H0003?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $24.06. California pays the most ($222.17) and New Jersey the least ($4.76).
Which state pays the highest Medicaid rate for H0003?
California, at $222.17, effective 2026-07-01.
Do managed-care plans pay the same rate for H0003?
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.