H0015 Medicaid reimbursement rates by state
Alcohol and/or drug services; intensive outpatient. 19 state Medicaid programs publish a fee-for-service rate for H0015 at the licensed clinician level. Rates run from $38.69 in Nebraska to $300.00 in Louisiana, with a median of $142.70.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 19
- Median rate
- $142.70units vary by state
- Highest
- $300.00Louisiana
- Medicare (non-facility)
- —not on the physician fee schedule
H0015 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 |
|---|---|---|---|---|---|---|
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $300.00since 2025-07-01 | day | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $266.25since 2025-07-01 | — | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $212.91since 2022-07-01 | — | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Comprehensive |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $193.12since 2026-01-01 | day | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $185.00since 2024-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $173.62since 2024-07-01 | — | — | Not classified | — | CMAP fee schedule: Clinic and Outpatient |
| OhioLicensed mental health clinician (LCSW, LMFT, LPC, licensed practitioner) · Ohio Medicaid (fee-for-service) | $168.99since 2024-01-01 | day | — | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $164.93since 2025-10-01 | day | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Problem Gambling Fund (state-funded gambling treatment, claims through the Carelon ASO) | $158.05since 2021-11-01 | — | — | Not classified | — | FY2022 PBHS Fee Schedule – SUD Gambling_ |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $142.70since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Fee Schedule Final FFS Behavi |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule) | $137.28since 2022-07-01 | — | — | Plans must pay at least this | — | KMAP Fee Schedule TXIX Medicaid (FeeSche |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $125.00since 2020-01-01 | day | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $121.90since 2025-07-01 | — | — | Plans must pay at least this | — | Rates for Certain Substance Use Disorder |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $121.50since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $120.09since 2024-07-01 | unit | — | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $115.74since 2025-06-13 | day | — | Not classified | — | Arkansas Medicaid Counseling and Crisis |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $64.32since 2025-03-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth interactive max fee schedu |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $51.88since 2025-12-01 | hour | $51.88 | Not classified | — | SCDHHS RBHS Substance Use Services Fee S |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $38.69since 2026-07-01 | hour | $38.69 | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
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 H0015?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $142.70. Louisiana pays the most ($300.00 per day) and Nebraska the least ($38.69 per hour).
Which state pays the highest Medicaid rate for H0015?
Louisiana, at $300.00 per day, effective 2025-07-01.
Do managed-care plans pay the same rate for H0015?
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.
Related Behavioral health codes
90791Mental health assessment (non-physician) · 32 states90832Outpatient psychotherapy and diagnostic evaluation · 32 states90834Outpatient psychotherapy and diagnostic evaluation · 32 states90837Outpatient psychotherapy and diagnostic evaluation · 32 states90847Outpatient psychotherapy and diagnostic evaluation · 32 states90853Outpatient psychotherapy and diagnostic evaluation · 32 states96110Mental health assessment (non-physician) · 32 states96112Mental health assessment (non-physician) · 32 states96130Mental health assessment (non-physician) · 32 states96131Mental health assessment (non-physician) · 32 states96136Mental health assessment (non-physician) · 32 states96137Mental health assessment (non-physician) · 32 states
Track H0015 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.