H0006 Medicaid reimbursement rates by state
Alcohol and/or drug services; case management. 12 state Medicaid programs publish a fee-for-service rate for H0006 at the case manager level. Rates run from $0.83 in Oklahoma to $650.20 in Wisconsin, with a median of $21.33.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 12
- Median rate
- $21.33units vary by state
- Highest
- $650.20Wisconsin
- Medicare (non-facility)
- —not on the physician fee schedule
H0006 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 |
|---|---|---|---|---|---|---|
| WisconsinCase manager / support coordinator · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $650.20⚠ over 3× mediansince 2022-05-01 | — | — | Paid by the state, outside plans | — | ForwardHealth interactive max fee schedu |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $243.00⚠ over 3× mediansince 2022-07-01 | — | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| OregonCase manager / support coordinator · Oregon Health Plan (fee-for-service, OHA) | $24.12since 2024-07-01 | unit | — | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| KentuckyPhysician or licensed psychologist (incl. BCBA-D) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $23.50since 2020-01-01 | 15 min | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| MassachusettsCase manager / support coordinator · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $23.18since 2026-07-01 | — | — | Plans must pay at least this | — | Rates for Certain Substance-Related and |
| OhioAgency provider · Ohio Medicaid (fee-for-service) | $22.03since 2024-01-01 | 15 min | $88.12 | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| IllinoisCase manager / support coordinator · Illinois Medicaid (HFS fee-for-service) | $20.62since 2025-07-01 | 1/4 hour | — | Plans negotiate; applies out of network | — | HFS Fee Schedule for Substance Use Preve |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule) | $13.00since 2022-07-01 | — | — | Plans must pay at least this | — | KMAP Fee Schedule TXIX Medicaid (FeeSche |
| New JerseyCase manager / support coordinator · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $12.00since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| ArizonaCase manager / support coordinator · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $9.04since 2021-02-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Behavioral Health Outpatient |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $7.88since 2021-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma ODMHSAS state-funded behavioral health services (non-Medicaid 'State Rate') | $0.83since 2023-05-12 | minute | $49.80 | Not classified | — | ODMHSAS PICIS 'Rates and Codes for Agenc |
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 H0006?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $21.33. Wisconsin pays the most ($650.20) and Oklahoma the least ($0.83 per minute).
Which state pays the highest Medicaid rate for H0006?
Wisconsin, at $650.20, effective 2022-05-01.
Do managed-care plans pay the same rate for H0006?
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.