H2020 Medicaid reimbursement rates by state
Therapeutic behavioral services, per diem. 17 state Medicaid programs publish a fee-for-service rate for H2020 at the independent level. Rates run from $30.88 in Montana to $571.30 in Washington, with a median of $155.79.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 17
- Median rate
- $155.79units vary by state
- Highest
- $571.30Washington
- Medicare (non-facility)
- —not on the physician fee schedule
H2020 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 |
|---|---|---|---|---|---|---|
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $571.30⚠ over 3× mediansince 2026-07-01 | day | — | Plans must pay at least this | — | HCA ABA fee schedule (aba-20260701.xlsx) |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $500.00⚠ over 3× mediansince 2003-07-01 | day | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| FloridaAny qualified provider (rate does not vary by provider) · Florida iBudget waiver for people with developmental disabilities (APD) | $431.84since 2026-07-01 | unit | — | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $278.85since 2024-01-01 | day | — | Plans must pay at least this | — | 2026 Fee Schedule - Covered Procedures R |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $244.29since 2024-04-01 | day | — | Plans negotiate; applies out of network | — | KY Medicaid Behavioral Health fee schedu |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $225.87since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $193.83since 2026-07-01 | day | — | Paid by the state, outside plans | — | DMAP 2026 CSCRP Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $164.50since 2021-07-01 | day | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $155.79since 2025-10-01 | day | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| OhioUnlicensed (bachelor's/master's) behavioral health practitioner · Ohio Medicaid (fee-for-service) | $153.25since 2024-01-01 | day | — | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $129.81since 2023-07-01 | day | — | Plans must pay at least this | — | MO HealthNet fee schedule: Comprehensive |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $111.27since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Fee Schedule Final FFS Behavi |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $79.15since 2016-01-19 | day | — | Not classified | — | Arkansas Medicaid Rehabilitative Service |
| TexasAgency provider | $67.98since 2021-04-01 | day | — | Paid by the state, outside plans | — | HHSC PFD YES payment rates (2021-yes-rat |
| IdahoAgency provider · Idaho Aged and Disabled 1915(c) Waiver (ID.1076) | $45.94since 2026-07-01 | day | — | Not classified | — | Aged and Disabled Waiver Services |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Money Follows the Person (CIH track) | $39.53since 2023-07-01 | hour | $39.53 | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $30.88since 2025-07-01 | 15 min. | — | Not classified | — | Medicaid Youth Mental Health Fee Schedul |
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 H2020?
It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $155.79. Washington pays the most ($571.30 per day) and Montana the least ($30.88 per 15 min.).
Which state pays the highest Medicaid rate for H2020?
Washington, at $571.30 per day, effective 2026-07-01.
Do managed-care plans pay the same rate for H2020?
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.