H0050 Medicaid reimbursement rates by state
Alcohol and/or drug services, brief intervention. 16 state Medicaid programs publish a fee-for-service rate for H0050 at the physician psychologist level. Rates run from $14.35 in West Virginia to $208.87 in California, with a median of $24.62.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 16
- Median rate
- $24.62units vary by state
- Highest
- $208.87California
- Medicare (non-facility)
- —not on the physician fee schedule
H0050 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 |
|---|---|---|---|---|---|---|
| CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Drug Medi-Cal Organized Delivery System (DHCS county fee schedule / interim rates) | $208.87⚠ over 3× mediansince 2026-07-01 | 15 min | $835.48 | 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) | $85.70⚠ over 3× mediansince 2025-01-01 | 15 min | $342.80 | 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) | $48.44since 2024-07-01 | 15 min | $193.76 | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $48.00since 2026-07-04 | 15 min | $192.00 | Not classified | — | CMAP fee schedule: Clinic - Family Plann |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $46.06since 2024-02-01 | 15 min | $184.24 | Plans must pay at least this | — | Iowa Medicaid fee schedule #62 BEHAVIORA |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $32.62since 2026-01-01 | 15 min | $130.48 | Plans negotiate; applies out of network | — | Practitioner Fee Schedule (2026-01-01) |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $27.60since 2024-08-01 | 15 min | $110.40 | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $25.00since 2007-07-01 | 15 min | $100.00 | Not classified | — | DMAS procedure fee file hcpcmedical.csv |
| New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service) | $24.24since 2023-01-01 | 15 min | $96.96 | Plans negotiate; applies out of network | — | eMedNY Physician Fee Schedule Sect 2 (Me |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $24.00since 2013-01-01 | 15 min | $96.00 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $23.52since 2026-03-01 | 15 min | $94.08 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Outpa |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $21.57since 2022-07-01 | 15 min | $86.28 | Plans must pay at least this | — | MO HealthNet fee schedule: Practitioner |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $21.32since 2022-02-18 | 15 min | $85.28 | Plans must pay at least this | — | OHCA 'TFC and ITFC rates and codes updat |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $21.27since 2024-07-01 | 15 min | $85.08 | Plans negotiate; applies out of network | — | HCA Physician-related services fee sched |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $14.70since 2010-01-01 | 15 min | $58.80 | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: MHPW SBI |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $14.35since 2026-04-01 | encounter | — | Plans must pay at least this | — | Fee Schedule - 1115 Demonstration-SUD (E |
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 H0050?
It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $24.62. California pays the most ($208.87 per 15 min) and West Virginia the least ($14.35 per encounter).
Which state pays the highest Medicaid rate for H0050?
California, at $208.87 per 15 min ($835.48 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for H0050?
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.