S9480 Medicaid reimbursement rates by state
Intensive outpatient psychiatric services, per diem. 23 state Medicaid programs publish a fee-for-service rate for S9480 at the physician psychologist level. Rates run from $17.62 in Illinois to $820.80 in New Jersey, with a median of $152.29.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 23
- Median rate
- $152.29units vary by state
- Highest
- $820.80New Jersey
- Medicare (non-facility)
- —not on the physician fee schedule
S9480 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 JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $820.80⚠ over 3× mediansince 2025-01-01 | day | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $550.00⚠ over 3× mediansince 2025-01-01 | day | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $370.41since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Fee Schedule Final FFS Behavi |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $328.46since 2023-07-01 | day | — | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $250.00since 2024-01-01 | day | — | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $241.60since 2025-11-21 | day | — | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $236.91since 2025-01-01 | day | — | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $223.49since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| 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) | $205.55since 2024-07-01 | day | — | Paid by the state, outside plans | — | FY2025 PBHS Fee Schedule – Individual Pr |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $193.12since 2026-01-01 | day | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $192.00since 2000-08-04 | day | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $152.29since 2024-07-01 | day | — | Not classified | — | CMAP fee schedule: Clinic and Outpatient |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $143.65since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $140.45since 2006-01-01 | day | — | Plans must pay at least this | — | Provider Type 20 Physician, MD., Osteopa |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $134.32since 2026-07-01 | day | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $125.00since 2020-01-01 | day | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $113.50since 2024-02-01 | day | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #62 BEHAVIORA |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $109.79since 2025-07-01 | day | — | Not classified | — | Medicaid Youth Mental Health Fee Schedul |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $80.64since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | HCA Physician-related services fee sched |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $72.00since 2026-09-01 | day | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $65.11since 2025-09-01 | day | — | Plans must pay at least this | — | Rates for Mental Health Services Provide |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $64.32since 2025-03-01 | day | — | Plans negotiate; applies out of network | — | ForwardHealth interactive max fee schedu |
| IllinoisBehavior analyst (BCBA / licensed behavior analyst) · Illinois Medicaid (HFS fee-for-service) | $17.62since 2022-01-01 | 1 hr | — | Plans negotiate; applies out of network | — | HFS Community Based Behavioral Services |
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 S9480?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $152.29. New Jersey pays the most ($820.80 per day) and Illinois the least ($17.62 per 1 hr).
Which state pays the highest Medicaid rate for S9480?
New Jersey, at $820.80 per day, effective 2025-01-01.
Do managed-care plans pay the same rate for S9480?
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.
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