H0018 Medicaid reimbursement rates by state
Behavioral health; short-term residential. 26 state Medicaid programs publish a fee-for-service rate for H0018 at the physician psychologist level. Rates run from $30.90 in Wisconsin to $714.58 in Maine, with a median of $261.39.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 26
- Median rate
- $261.39units vary by state
- Highest
- $714.58Maine
- Medicare (non-facility)
- —not on the physician fee schedule
H0018 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 |
|---|---|---|---|---|---|---|
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $714.58since 2026-01-01 | day | — | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $657.96since 2020-03-01 | day | — | Plans expected to pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $591.24since 2026-01-01 | day | — | Plans must pass increases through | — | Residential Crisis Services (RCS) Provid |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $584.35since 2024-07-01 | day | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, June 202 |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $551.09since 2026-07-01 | 24 Hour | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $400.40since 2025-06-13 | day | — | Not classified | — | Arkansas Medicaid Counseling and Crisis |
| 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) | $379.43since 2024-07-01 | day | — | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – PRP and Speci |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule) | $375.00since 2025-07-01 | day | — | Plans must pay at least this | — | KMAP General Bulletin 25118 (UPDATED): A |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $349.76since 2025-01-01 | day | — | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $299.18since 2025-12-01 | day | — | Not classified | — | SCDHHS RBHS Substance Use Services Fee S |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $273.42since 2026-07-01 | day | — | Plans must pay at least this | — | MO HealthNet fee schedule: Practitioner |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $264.66since 2025-07-01 | day | — | Not classified | — | Substance Use Disorder (Chemical Depende |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $263.77since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $259.00since 2024-07-31 | day | — | Plans must pay at least this | — | Provider Type 20 Physician, MD., Osteopa |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $255.29since 2021-02-01 | day | — | Plans negotiate; applies out of network | — | AHCCCS FFS Behavioral Health Outpatient |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $249.83since 2023-07-01 | day | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $230.00since 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) | $212.15since 2026-07-01 | day | — | Plans must pay at least this | — | Rates for Certain Substance-Related and |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $208.27since 2024-01-01 | day | — | Plans must pay at least this | — | 2026 Fee Schedule - Covered Procedures R |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $193.86since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $189.54since 2024-01-01 | day | — | Plans negotiate; applies out of network | — | HCA Substance use disorder fee schedule |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $178.39since 2024-01-01 | day | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid behavioral health programs (CMHC, ACT, BH Link, peer, SUD, health homes; fee-for-service) | $171.70since 2026-10-01 | day | — | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $66.06since 2025-01-01 | day | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Behavioral Health Center benefit plans (WDH Behavioral Health Division, not Medicaid) | $44.91since 2026-07-01 | day | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $30.90 | day | — | Plans negotiate; applies out of network | — | ForwardHealth Residential SUD Treatment |
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 H0018?
It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $261.39. Maine pays the most ($714.58 per day) and Wisconsin the least ($30.90 per day).
Which state pays the highest Medicaid rate for H0018?
Maine, at $714.58 per day, effective 2026-01-01.
Do managed-care plans pay the same rate for H0018?
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.
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Track H0018 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.