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H0022 Medicaid reimbursement rates by state

Alcohol and/or drug intervention service. 6 state Medicaid programs publish a fee-for-service rate for H0022. Rates run from $8.25 in Oklahoma to $400.00 in Rhode Island, with a median of $20.73.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
6
Median rate
$20.73units vary by state
Highest
$400.00Rhode Island
Medicare (non-facility)
—not on the physician fee schedule

H0022 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid Centers of Excellence for opioid use disorder (fee-for-service)$400.00since 2016-11-01——Paid by the state, outside plans—RI Medicaid Interactive Fee For Service
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$37.81since 2023-02-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Mntl Hlt
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$24.70since 2004-01-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$16.75since 2024-07-01unit—Plans negotiate; applies out of network—OHP FFS behavioral health fee schedule (
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$15.00since 2026-01-01per quarter unit—Paid by the state, outside plans—Community-Based Substance Abuse County M
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma ODMHSAS state-funded behavioral health services (non-Medicaid 'State Rate')$8.25since 2024-05-2215 min$33.00Not classified—ODMHSAS PICIS 'Rates and Codes for Agenc

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 H0022?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $20.73. Rhode Island pays the most ($400.00) and Oklahoma the least ($8.25 per 15 min).

Which state pays the highest Medicaid rate for H0022?

Rhode Island, at $400.00, effective 2016-11-01.

Do managed-care plans pay the same rate for H0022?

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

Track H0022 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state