H2011 Medicaid reimbursement rates by state
Crisis intervention service, per 15 minutes. 30 state Medicaid programs publish a fee-for-service rate for H2011 at the physician psychologist level. Rates run from $12.79 in Colorado to $206.47 in California, with a median of $39.45.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 30
- Median rate
- $39.45units vary by state
- Highest
- $206.47California
- Medicare (non-facility)
- —not on the physician fee schedule
H2011 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 Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $206.47⚠ over 3× mediansince 2026-07-01 | 15 min | $825.88 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $125.00since 2025-01-01 | 15 min | $500.00 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| 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) | $115.15since 2024-07-01 | 15 min | $460.60 | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – BH Crisis Ser |
| South CarolinaPhysician or licensed psychologist (incl. BCBA-D) · South Carolina Healthy Connections Medicaid (fee-for-service) | $107.25since 2026-07-01 | 15 min | $429.00 | Not classified | — | SCDHHS Rehabilitative Behavioral Health |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $102.26since 2025-10-01 | 15 min | $409.04 | Not classified | — | CMAP fee schedule: Clinic and Outpatient |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $96.03since 2025-10-01 | 15 min | $384.12 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $85.22since 2024-07-01 | 15 min | $340.88 | Plans must pay at least this | — | Iowa Medicaid fee schedule #80 CRISIS RE |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $78.19since 2024-01-01 | 15 min | $312.76 | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $77.06since 2025-01-01 | 15 min | $308.24 | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule) | $56.25since 2021-10-01 | 15 min | $225.00 | Plans must pay at least this | — | KMAP Fee Schedule TXIX Medicaid (FeeSche |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $54.62since 2023-01-01 | 15 min | $218.48 | Plans negotiate; applies out of network | — | MDHHS Child and Adolescent Health Center |
| IllinoisAssistant behavior analyst (BCaBA / LaBA) · Illinois Medicaid (HFS fee-for-service) | $53.27since 2024-01-01 | 1/4 hr | — | Plans negotiate; applies out of network | — | HFS Community Based Behavioral Services |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $43.78since 2026-10-01 | 15 min | $175.12 | Plans negotiate; applies out of network | — | AHCCCS FFS Fee Schedule Final FFS Behavi |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $42.82since 2024-01-01 | 15 min | $171.28 | Plans negotiate; applies out of network | — | HCA Specialized mental health fee schedu |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $41.70since 2024-07-01 | 15 min | $166.80 | Plans expected to pay at least this | — | OHP FFS behavioral health fee schedule ( |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $37.19since 2026-05-21 | 15 min | $148.76 | Plans must pass increases through | — | MH Procedure CPT or HCPC Codes and Rates |
| TexasCase manager / support coordinator · Texas Medicaid (fee-for-service, TMHP) | $36.89since 2017-04-01 | 15 min | $147.56 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Case |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $34.94since 2026-01-01 | 15 min | $139.76 | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $33.94since 2025-08-15 | 15 min | $135.76 | Plans must pay at least this | — | Rates for Behavioral Health Services Pro |
| LouisianaPhysician or licensed psychologist (incl. BCBA-D) · Louisiana Residential Options Waiver (ROW, OCDD/OIDD 1915(c) waiver) | $31.25since 2025-11-18 | 15 min | $125.00 | Paid by the state, outside plans | — | Residential Options Waiver rate and proc |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $29.15since 2026-01-01 | 15 min | $116.60 | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| WisconsinPhysician or licensed psychologist (incl. BCBA-D) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $27.56since 2023-01-01 | 15 min | $110.24 | Paid by the state, outside plans | — | ForwardHealth max fee schedule: Mntl Hlt |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $27.30since 2025-06-13 | 15 min | $109.20 | Not classified | — | Arkansas Medicaid Counseling and Crisis |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $27.02since 2026-07-01 | 15 min | $108.08 | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| KentuckyPhysician or licensed psychologist (incl. BCBA-D) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $24.83since 2020-01-01 | 15 min | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $22.80since 2024-01-01 | 15 min | $91.20 | Plans must pay at least this | — | Provider Type 20 Physician, MD., Osteopa |
| AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $22.00since 2025-12-01 | 15 min | $88.00 | Not classified | — | Behavior Health Services Fee Schedule |
| OklahomaPhysician or licensed psychologist (incl. BCBA-D) · Oklahoma SoonerCare (fee-for-service, OHCA) | $20.28since 2022-07-01 | 15 min | $81.12 | Plans must pay at least this | — | ODMHSAS PICIS 'SoonerCare - Psychologist |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $19.08since 2019-07-01 | per 15 min. | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Psy |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $12.79since 2026-07-01 | 15 min | $51.16 | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
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 H2011?
It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $39.45. California pays the most ($206.47 per 15 min) and Colorado the least ($12.79 per 15 min).
Which state pays the highest Medicaid rate for H2011?
California, at $206.47 per 15 min ($825.88 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for H2011?
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.
Related Behavioral health codes
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Track H2011 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.