H2000 Medicaid reimbursement rates by state
Comprehensive multidisciplinary evaluation. 13 state Medicaid programs publish a fee-for-service rate for H2000 at the physician psychologist level. Rates run from $41.54 in Illinois to $546.70 in Indiana, with a median of $192.16.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 13
- Median rate
- $192.16units vary by state
- Highest
- $546.70Indiana
- Medicare (non-facility)
- —not on the physician fee schedule
H2000 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 |
|---|---|---|---|---|---|---|
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $546.70since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| NebraskaPhysician or licensed psychologist (incl. BCBA-D) · Nebraska Medicaid (fee-for-service) | $392.29since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia developmental disability waivers (Building Independence, Family and Individual Supports, Community Living) | $323.64since 2024-07-01 | hour | $323.64 | Paid by the state, outside plans | — | DMAS Developmental Disabilities Waiver S |
| South CarolinaPhysician or licensed psychologist (incl. BCBA-D) · South Carolina Healthy Connections Medicaid (fee-for-service) | $252.43since 2026-07-01 | — | — | Not classified | — | SCDHHS Rehabilitative Behavioral Health |
| FloridaPhysician or licensed psychologist (incl. BCBA-D) · Florida Medicaid (fee-for-service) | $250.63since 2026-01-01 | per evaluation | — | Plans negotiate; applies out of network | — | Community Behavioral Health Services Fee |
| CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $206.47since 2026-07-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| OhioPhysician or licensed psychologist (incl. BCBA-D) · Ohio Medicaid (fee-for-service) | $192.16since 2024-01-01 | encounter | — | Plans must pay at least this | — | ODM Behavioral Health Coding Workbook (1 |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $137.33since 2024-07-01 | unit | — | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $135.83since 2013-06-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $117.15since 2023-10-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Maternal Infant Health Program, Oc |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $65.98since 2019-07-01 | — | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Comprehensive |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $52.62since 2025-01-01 | — | — | Paid by the state, outside plans | — | NJMMIS Procedure Master Listing CPTHCPCS |
| IllinoisPhysician or licensed psychologist (incl. BCBA-D) · Illinois Medicaid (HFS fee-for-service) | $41.54since 2024-01-01 | 1/4 hr | — | Plans negotiate; applies out of network | — | HFS Community Based Behavioral Services |
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 H2000?
It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $192.16. Indiana pays the most ($546.70 per unit) and Illinois the least ($41.54 per 1/4 hr).
Which state pays the highest Medicaid rate for H2000?
Indiana, at $546.70 per unit, effective 2026-01-01.
Do managed-care plans pay the same rate for H2000?
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.