H0046 Medicaid reimbursement rates by state
Mental health services, not otherwise specified. 13 state Medicaid programs publish a fee-for-service rate for H0046 at the assistant analyst level. Rates run from $0.45 in Minnesota to $894.62 in California, with a median of $34.22.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 13
- Median rate
- $34.22units vary by state
- Highest
- $894.62California
- Medicare (non-facility)
- —not on the physician fee schedule
H0046 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) | $894.62since 2025-01-01 | 24 Hour | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $102.72⚠ over 3× mediansince 2024-01-01 | — | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| 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) | $66.89since 2024-07-01 | — | — | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – Individual Pr |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $61.36since 2025-10-01 | day | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| WisconsinPhysician or licensed psychologist (incl. BCBA-D) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $36.59since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Mntl Hlt |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $34.44since 2020-01-01 | encounter | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $34.22since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | HCA Specialized mental health fee schedu |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Head and Spinal Cord Injury (HASCI) Waiver (SC.0284, DDSN-operated) | $33.49since 2025-11-01 | 30 min | $66.98 | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $22.95since 2025-09-01 | — | — | Plans must pay at least this | — | Rates for Mental Health Services Provide |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania ODP Adult Autism Waiver | $21.05since 2024-07-01 | 15-minute unit | — | Not classified | — | 54 Pa.B. 5541: Fee Schedule Rates and De |
| 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 |
| FloridaAssistant behavior analyst (BCaBA / LaBA) · Florida Medicaid (fee-for-service) | $3.40since 2026-01-01 | — | — | Paid by the state, outside plans | — | Medicaid Certified School Match Program |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $0.45since 2024-01-01 | — | — | Plans must pass increases through | — | MHCP Fee Schedule - Current Fee Schedule |
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 H0046?
It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $34.22. California pays the most ($894.62 per 24 Hour) and Minnesota the least ($0.45).
Which state pays the highest Medicaid rate for H0046?
California, at $894.62 per 24 Hour, effective 2025-01-01.
Do managed-care plans pay the same rate for H0046?
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.