S0201 Medicaid reimbursement rates by state
Partial hospitalization services, less than 24 hours. 6 state Medicaid programs publish a fee-for-service rate for S0201. Rates run from $175.71 in Maryland to $793.57 in New Mexico, with a median of $503.81.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $503.81units vary by state
- Highest
- $793.57New Mexico
- Medicare (non-facility)
- —not on the physician fee schedule
S0201 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) | $793.57since 2025-01-01 | day | — | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Drug Medi-Cal Organized Delivery System (DHCS county fee schedule / interim rates) | $701.06since 2026-07-01 | 24 Hour | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $532.50since 2025-07-01 | day | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $475.11since 2024-07-01 | day | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #80 CRISIS RE |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $262.51since 2023-07-01 | day | — | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
| 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) | $175.71since 2024-07-01 | day | — | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – PRP and Speci |
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 S0201?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $503.81. New Mexico pays the most ($793.57 per day) and Maryland the least ($175.71 per day).
Which state pays the highest Medicaid rate for S0201?
New Mexico, at $793.57 per day, effective 2025-01-01.
Do managed-care plans pay the same rate for S0201?
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.