H0039 Medicaid reimbursement rates by state
Assertive community treatment, face-to-face, per 15 minutes. 10 state Medicaid programs publish a fee-for-service rate for H0039 at the bachelors level level. Rates run from $3.75 in Wisconsin to $3,920.59 in California, with a median of $14.80.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $14.80units vary by state
- Highest
- $3,920.59California
- Medicare (non-facility)
- —not on the physician fee schedule
H0039 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 Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $3,920.59since 2026-07-01 | 4.0 to 5.0 Encounters (3.0 encounters must be FTF*) | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $79.50⚠ over 3× mediansince 2025-01-01 | 15 min | $318.00 | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $41.66since 2024-07-01 | 15 min | $166.64 | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $28.66since 2024-07-01 | 15 min | $114.64 | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, June 202 |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Residential Options Waiver (ROW, OCDD/OIDD 1915(c) waiver) | $18.00since 2025-11-18 | 15 min | $72.00 | Paid by the state, outside plans | — | Residential Options Waiver rate and proc |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $11.59since 2022-01-01 | 1/4 hr | — | Plans negotiate; applies out of network | — | HFS Community Based Behavioral Services |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Acquired Brain Injury (ABI, acute) 1915(c) waiver | $10.54since 2025-01-01 | 15 min | $42.16 | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| New JerseyBachelor's-level staff · New Jersey DMHAS Mental Health Fee-for-Service (state-funded payments for people without Medicaid coverage) | $6.24since 2019-07-01 | 15 min | $24.96 | Not classified | — | DMHAS MH Fee-for-Service NJMHAPP Code an |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $5.99since 2024-05-22 | 15 min | $23.96 | Plans must pay at least this | — | ODMHSAS PICIS 'Rates and Codes for Agenc |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $3.75since 2004-01-01 | 15 min | $15.00 | Paid by the state, outside plans | — | ForwardHealth max fee schedule: Mntl Hlt |
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 H0039?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $14.80. California pays the most ($3,920.59 per 4.0 to 5.0 Encounters (3.0 encounters must be FTF*)) and Wisconsin the least ($3.75 per 15 min).
Which state pays the highest Medicaid rate for H0039?
California, at $3,920.59 per 4.0 to 5.0 Encounters (3.0 encounters must be FTF*), effective 2026-07-01.
Do managed-care plans pay the same rate for H0039?
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.