T1007 Medicaid reimbursement rates by state
Alcohol and/or substance abuse services. 6 state Medicaid programs publish a fee-for-service rate for T1007 at the physician psychologist level. Rates run from $12.92 in Colorado to $210.33 in California, with a median of $44.69.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $44.69units vary by state
- Highest
- $210.33California
- Medicare (non-facility)
- —not on the physician fee schedule
T1007 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 |
|---|---|---|---|---|---|---|
| CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Drug Medi-Cal Organized Delivery System (DHCS county fee schedule / interim rates) | $210.33since 2026-07-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| KentuckyPhysician or licensed psychologist (incl. BCBA-D) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $94.00since 2020-01-01 | encounter | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $48.93since 2026-01-01 | one time | — | Plans negotiate; applies out of network | — | Community Behavioral Health Services Fee |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $40.44since 2022-04-15 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Outpa |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Head and Spinal Cord Injury (HASCI) Waiver (SC.0284, DDSN-operated) | $40.29since 2025-11-01 | hour | $40.29 | Paid by the state, outside plans | — | SCDHHS HCBS Waivers Fee Schedule (Effect |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $12.92since 2021-01-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
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 T1007?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $44.69. California pays the most ($210.33) and Colorado the least ($12.92).
Which state pays the highest Medicaid rate for T1007?
California, at $210.33, effective 2026-07-01.
Do managed-care plans pay the same rate for T1007?
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.