H2030 Medicaid reimbursement rates by state
Mental health clubhouse services, per 15 minutes. 7 state Medicaid programs publish a fee-for-service rate for H2030 at the physician psychologist level. Rates run from $3.75 in Wyoming to $12.32 in District of Columbia, with a median of $5.04.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $5.04units vary by state
- Highest
- $12.32District of Columbia
- Medicare (non-facility)
- —not on the physician fee schedule
H2030 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 |
|---|---|---|---|---|---|---|
| District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service | $12.32since 2025-01-01 | 15 min | $49.28 | Not classified | — | REFRP00178CSV - Medical Fee Schedule Rep |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $8.64since 2026-01-01 | 15 min | $34.56 | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| South CarolinaPhysician or licensed psychologist (incl. BCBA-D) · South Carolina Healthy Connections Medicaid (fee-for-service) | $7.33since 2026-07-01 | 15 min | $29.32 | Not classified | — | SCDHHS Rehabilitative Behavioral Health |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $5.04since 2026-01-01 | per quarter hour | — | Plans negotiate; applies out of network | — | Community Behavioral Health Services Fee |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $4.70since 2026-01-01 | 15 min | $18.80 | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma ODMHSAS state-funded behavioral health services (non-Medicaid 'State Rate') | $4.22since 2024-05-22 | 15 min | $16.88 | Not classified | — | ODMHSAS PICIS 'Rates and Codes for Agenc |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $3.75since 2024-07-01 | 15 min | $15.00 | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
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 H2030?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $5.04. District of Columbia pays the most ($12.32 per 15 min) and Wyoming the least ($3.75 per 15 min).
Which state pays the highest Medicaid rate for H2030?
District of Columbia, at $12.32 per 15 min ($49.28 per hour), effective 2025-01-01.
Do managed-care plans pay the same rate for H2030?
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.