H0020 Medicaid reimbursement rates by state
Alcohol and/or drug services. 23 state Medicaid programs publish a fee-for-service rate for H0020 at the physician psychologist level. Rates run from $3.94 in Nevada to $258.56 in Ohio, with a median of $16.07.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 23
- Median rate
- $16.07units vary by state
- Highest
- $258.56Ohio
- Medicare (non-facility)
- —not on the physician fee schedule
H0020 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 |
|---|---|---|---|---|---|---|
| OhioPhysician or licensed psychologist (incl. BCBA-D) · Ohio Medicaid (fee-for-service) | $258.56since 2024-01-01 | Two Weeks (8 - 14 days) | — | Plans expected to pay at least this | — | ODM Behavioral Health Coding Workbook (1 |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $247.28since 2025-10-01 | per week | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $191.99⚠ over 3× mediansince 2026-01-01 | — | — | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $119.98since 2025-07-01 | Weekly | — | Plans negotiate; applies out of network | — | HFS Fee Schedule for Substance Use Preve |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $114.00since 2024-04-01 | WEEKLY NTP | — | Plans negotiate; applies out of network | — | KY Medicaid Behavioral Health fee schedu |
| 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) | $95.97since 2024-07-01 | Per Week | — | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – SUD_7.1.2024 |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $68.08since 2026-01-01 | weekly rate | — | Plans negotiate; applies out of network | — | Community Behavioral Health Services Fee |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $21.11since 2025-01-01 | day | — | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $20.41since 2025-07-01 | day | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $19.29since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | HCA Substance use disorder fee schedule |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $17.34since 2023-10-01 | encounter | — | Not classified | — | Department of Mental Health Substance Us |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $16.07since 2025-01-01 | — | — | Plans must pass increases through | — | MHCP Fee Schedule - Current Fee Schedule |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $15.96since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Child Health Plan Plus Behavioral Health |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $15.50since 2022-07-01 | — | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Comprehensive |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $12.80since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Mntl Hlt |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $12.50since 2022-01-01 | unit | — | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $11.26since 2026-07-01 | — | — | Plans must pay at least this | — | Rates for Certain Substance-Related and |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $9.84since 2023-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $8.00since 2022-07-01 | — | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $5.93since 2026-10-01 | — | — | Suggested schedule for plans | — | AHCCCS MCO Fee Schedule Final MCO Behavi |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $5.00since 2025-06-13 | — | — | 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) | $4.25since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $3.94since 2024-07-01 | — | — | Plans must pay at least this | — | Provider Type 20 Physician, MD., Osteopa |
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 H0020?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $16.07. Ohio pays the most ($258.56 per Two Weeks (8 - 14 days)) and Nevada the least ($3.94).
Which state pays the highest Medicaid rate for H0020?
Ohio, at $258.56 per Two Weeks (8 - 14 days), effective 2024-01-01.
Do managed-care plans pay the same rate for H0020?
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 H0020 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.