H0014 Medicaid reimbursement rates by state
Alcohol and/or drug services; ambulatory detoxification. 13 state Medicaid programs publish a fee-for-service rate for H0014 at the agency level. Rates run from $31.17 in North Carolina to $339.44 in California, with a median of $149.10.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 13
- Median rate
- $149.10units vary by state
- Highest
- $339.44California
- Medicare (non-facility)
- —not on the physician fee schedule
H0014 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 |
|---|---|---|---|---|---|---|
| CaliforniaAny qualified provider (rate does not vary by provider) · California Drug Medi-Cal Organized Delivery System (DHCS county fee schedule / interim rates) | $339.44since 2026-07-01 | hour | $339.44 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $264.72since 2021-02-01 | — | — | Suggested schedule for plans | — | AHCCCS MCO Behavioral Health Outpatient |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $250.00since 2025-06-13 | encounter | — | Not classified | — | Arkansas Medicaid Counseling and Crisis |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $232.54since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $202.38since 2026-01-01 | day | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $161.67since 2022-07-01 | — | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Comprehensive |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $149.10since 2025-07-01 | — | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| OhioAgency provider · Ohio Medicaid (fee-for-service) | $143.96since 2024-01-01 | hour | $143.96 | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $110.67since 2022-11-15 | — | — | Not classified | — | CMAP fee schedule: Free-Standing Substan |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $108.77since 2024-07-01 | day | — | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – SUD_7.1.2024 |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $78.44since 2024-07-01 | day | — | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $54.00since 2023-10-01 | encounter | — | Not classified | — | Department of Mental Health Substance Us |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $31.17since 2025-10-01 | 15 min | $124.68 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
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 H0014?
It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $149.10. California pays the most ($339.44 per hour) and North Carolina the least ($31.17 per 15 min).
Which state pays the highest Medicaid rate for H0014?
California, at $339.44 per hour ($339.44 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for H0014?
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.