H2010 Medicaid reimbursement rates by state
Comprehensive medication services, per 15 minutes. 8 state Medicaid programs publish a fee-for-service rate for H2010 at the clinical nurse specialist level. Rates run from $9.75 in Iowa to $47.62 in New Mexico, with a median of $19.60.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $19.60units vary by state
- Highest
- $47.62New Mexico
- Medicare (non-facility)
- —not on the physician fee schedule
H2010 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 |
|---|---|---|---|---|---|---|
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $47.62since 2025-01-01 | 15 min | $190.48 | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $37.04since 2024-01-01 | 1/4 hr | — | Plans negotiate; applies out of network | — | HFS Community Based Behavioral Services |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $34.53since 2024-07-01 | 15 min | $138.12 | Plans negotiate; applies out of network | — | OHP FFS behavioral health fee schedule ( |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $24.07since 2022-07-01 | 15 min | $96.28 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Psy |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $15.13since 2026-01-01 | per quarter hour | — | Plans negotiate; applies out of network | — | Community Behavioral Health Services Fee |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $13.00since 2022-07-01 | 15 min | $52.00 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN MediKan (FeeSchedu |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $12.29since 2026-10-01 | 15 min | $49.16 | Suggested schedule for plans | — | AHCCCS MCO Fee Schedule Final MCO Behavi |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $9.75since 2024-07-01 | 15 min | $39.00 | Plans must pay at least this | — | Iowa Medicaid fee schedule #38 CERTIFIED |
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 H2010?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $19.60. New Mexico pays the most ($47.62 per 15 min) and Iowa the least ($9.75 per 15 min).
Which state pays the highest Medicaid rate for H2010?
New Mexico, at $47.62 per 15 min ($190.48 per hour), effective 2025-01-01.
Do managed-care plans pay the same rate for H2010?
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.