S9484 Medicaid reimbursement rates by state
Crisis intervention mental health services, per hour. 23 state Medicaid programs publish a fee-for-service rate for S9484 at the rn level. Rates run from $0.01 in Rhode Island to $474.60 in Illinois, with a median of $66.50.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 23
- Median rate
- $66.50units vary by state
- Highest
- $474.60Illinois
- Medicare (non-facility)
- —not on the physician fee schedule
S9484 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 |
|---|---|---|---|---|---|---|
| IllinoisAssistant behavior analyst (BCaBA / LaBA) · Illinois Medicaid (HFS fee-for-service) | $474.60since 2024-01-01 | Event | — | Plans negotiate; applies out of network | — | HFS Community Based Behavioral Services |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $412.91since 2025-07-01 | day | — | Not classified | — | Medicaid Mental Health Services for Adul |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $324.45⚠ over 3× mediansince 2026-01-01 | hour | $324.45 | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $308.54⚠ over 3× mediansince 2026-07-01 | hour | $308.54 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| OhioAgency provider · Ohio Medicaid (fee-for-service) | $141.22since 2024-01-01 | hour | $141.22 | Plans expected to pay at least this | — | OAC 5160-27-03 Appendix A, Community Beh |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $110.00since 2004-01-01 | hour | $110.00 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| KentuckyPhysician or licensed psychologist (incl. BCBA-D) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $107.44since 2020-01-01 | hour | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| LouisianaMaster's-level staff · Louisiana Medicaid (fee-for-service) | $98.12since 2025-10-01 | One Hour | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $91.72since 2024-07-01 | hour | $91.72 | Not classified | — | CMAP fee schedule: Clinic and Outpatient |
| 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 | hour | $85.22 | Plans must pay at least this | — | Iowa Medicaid fee schedule #80 CRISIS RE |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $78.06since 2024-01-01 | hour | $78.06 | Plans negotiate; applies out of network | — | HCA Specialized mental health fee schedu |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $66.50since 2023-07-01 | hour | $66.50 | Paid by the state, outside plans | — | 2026 Fee Schedule - Covered Procedures R |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS behavioral health outpatient MCO capped fee schedule | $63.33since 2026-10-01 | hour | $63.33 | Suggested schedule for plans | — | AHCCCS MCO Fee Schedule Final MCO Behavi |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri DD Community Support Waiver (DMH Division of DD, 1915(c)) | $58.06since 2022-07-01 | hour | $58.06 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Community Sup |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $55.88since 2023-01-01 | hour | $55.88 | Paid by the state, outside plans | — | ForwardHealth max fee schedule: Mntl Hlt |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $48.10since 2026-07-01 | hour | $48.10 | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $36.59since 2026-07-01 | hour | $36.59 | Not classified | — | MaineCare Section 97 PNMI Appendix D Res |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $33.00since 2025-10-01 | hour | $33.00 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Enhanced Menta |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid School-Based Services (MSBS) | $32.00since 2022-07-01 | hour | $32.00 | Not classified | — | Medicaid School-Based Services Reimburse |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $31.06since 2021-07-01 | hour | $31.06 | Paid by the state, outside plans | — | DMAS procedure fee file hcpcmedical.csv |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $27.23since 2025-01-01 | hour | $27.23 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma ODMHSAS state-funded behavioral health services (non-Medicaid 'State Rate') | $19.50since 2024-05-22 | hour | $19.50 | Not classified | — | ODMHSAS PICIS 'Rates and Codes for Agenc |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid behavioral health programs (CMHC, ACT, BH Link, peer, SUD, health homes; fee-for-service) | $0.01since 2024-10-01 | hour | $0.01 | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
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 S9484?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $66.50. Illinois pays the most ($474.60 per Event) and Rhode Island the least ($0.01 per hour).
Which state pays the highest Medicaid rate for S9484?
Illinois, at $474.60 per Event, effective 2024-01-01.
Do managed-care plans pay the same rate for S9484?
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
90791Mental health assessment (non-physician) · 45 states90832Outpatient psychotherapy and diagnostic evaluation · 45 states90834Outpatient psychotherapy and diagnostic evaluation · 45 states90837Outpatient psychotherapy and diagnostic evaluation · 45 states90847Outpatient psychotherapy and diagnostic evaluation · 45 states90853Outpatient psychotherapy and diagnostic evaluation · 45 states96130Mental health assessment (non-physician) · 45 states96131Mental health assessment (non-physician) · 45 states96136Mental health assessment (non-physician) · 45 states96137Mental health assessment (non-physician) · 45 states99202New-patient office visit, level 1 of 4 · 45 states99203New-patient office visit, level 2 of 4 · 45 states
Track S9484 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.