Behavioral health Medicaid rates by state
Medicaid rates for psychotherapy, assessment, skills training, therapeutic behavioral services, wraparound and psychiatric residential treatment. For mental health counseling, the median across 6 states is $19.85 . Washington pays the most.
- States with rates
- 19
- Median · Mental health counseling
- $19.85
- Highest
- $28.05Washington
- Lowest
- $0.45Minnesota
Key behavioral health rates across states
Fee-for-service rates, compared like-for-like by provider level. Per-hour figures convert time-based units only.
| Service | Provider level | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|
| Mental health counseling | Licensed mental health clinician | $19.85 | $0.45 | $28.05 | 6 |
| Outpatient psychotherapy and diagnostic evaluation | Licensed mental health clinician | $81.18 | $26.25 | $302.03 | 10 |
| Mental health assessment (non-physician) | Physician or licensed psychologist | $68.21 | $9.66 | $668.95 | 12 |
| Skills training and development | Agency provider | $47.80/hr | $10.00 | $104.24 | 11 |
| Therapeutic behavioral services | Physician or licensed psychologist | $78.32/hr | $19.52 | $825.88 | 10 |
| Mental health service plan development | Licensed mental health clinician | $82.44 | $13.67 | $338.84 | 5 |
| Community-based wraparound services | Behavior technician | $98.52/hr | $32.40 | $280.00 | 7 |
| Psychiatric residential treatment (daily) | All levels | $891.57/day | $283.19 | $1,244.07 | 6 |
| Inpatient psychiatric stay (per day) | All levels | $854.02/day | $287.00 | $1,089.65 | 5 |
Mental health counseling: state ranking
Licensed mental health clinician level. Each rate links to the state's official fee schedule.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Washington | $28.05 | — | — | 2021-01-01 |
| 2 | Massachusetts | $22.95 | — | — | 2025-09-01 |
| 3 | Ohio | $21.21 | — | — | 2020-06-12 |
| 4 | North Carolina | $18.49 | — | — | 2025-10-01 |
| 5 | Michigan | $8.62 | — | — | 2018-01-01 |
| 6 | Minnesota | $0.45 | — | — | 2024-01-01 |
Behavioral health rates by state
State pages cover every key rate, the wages of the roles that deliver the service, the minimum wage, and recent rate changes.
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.