Hawaii Medicaid behavioral health rates
Hawaii Medicaid pays $82.90 for outpatient psychotherapy and diagnostic evaluation delivered by a licensed mental health clinician, effective June 1, 2026, the 15th highest of 29 states with comparable rates. Below: 1 more behavioral health rate compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Outpatient psychotherapy and diagnostic evaluation
- $82.90
- Rank among states
- 15 of 290.0% vs median
- Mental health counselor median wage
- $28.89BLS May 2025
- Hawaii minimum wage
- $16.00
Hawaii behavioral health rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Hawaii's official fee schedule.
| Service | Provider level | Code | HI rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Mental health counseling | Licensed mental health clinician | Not published | $23.98 | $0.45 | $42.50 | 12 | ||||
| Outpatient psychotherapy and diagnostic evaluation | Licensed mental health clinician | 90880 | $82.90 | — | — | 15 of 29 | $82.90 | $0.01 | $302.03 | 29 |
| Mental health assessment (non-physician) | Physician or licensed psychologist | Not published | $120.34 | $9.66 | $687.46 | 28 | ||||
| Skills training and development | Physician or licensed psychologist | Not published | $49.08/hr | $8.60 | $139.64 | 31 | ||||
| Therapeutic behavioral services | Physician or licensed psychologist | Not published | $88.56/hr | $16.80 | $825.88 | 28 | ||||
| Mental health service plan development | Licensed mental health clinician | Not published | $31.25 | $0.01 | $338.84 | 19 | ||||
| Community-based wraparound services | Licensed mental health clinician | Not published | $94.50/hr | $6.28 | $3,451.36 | 12 | ||||
| Psychiatric residential treatment (daily) | All levels | Not published | $525.10/day | $283.19 | $1,244.07 | 15 | ||||
| Inpatient psychiatric stay (per day) | All levels | $1,202.98 | day | — | 3 of 11 | $965.06/day | $287.00 | $1,345.00 | 11 | |
Outpatient psychotherapy and diagnostic evaluation: where Hawaii ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | California | $302.03 | — | — | 2026-07-01 |
| 2 | New Mexico | $144.88 | — | — | 2025-01-01 |
| 3 | Nebraska | $115.68 | — | — | 2026-07-01 |
| 4 | Wisconsin | $95.02 | — | — | 2022-01-01 |
| 5 | South Dakota | $93.65 | — | — | 2026-06-01 |
| 6 | Mississippi | $93.38 | — | — | 2026-07-01 |
| 7 | Vermont | $89.18 | — | — | 2026-01-01 |
| 8 | Minnesota | $87.61 | — | — | 2026-02-01 |
| 9 | Idaho | $87.37 | — | — | 2026-07-01 |
| 10 | Delaware | $86.29 | — | — | 2026-01-01 |
| 11 | Texas | $85.32 | — | — | 2026-03-01 |
| 12 | Maryland | $85.29 | — | — | 2025-07-01 |
| 13 | North Carolina | $83.68 | — | — | 2025-10-01 |
| 14 | Colorado | $82.99 | — | — | 2026-07-01 |
| 15 | Hawaii | $82.90 | — | — | 2026-06-01 |
| 16 | Nevada | $81.42 | — | — | 2024-12-02 |
| 17 | Georgia | $80.92 | — | — | 2017-01-01 |
| 18 | Connecticut | $80.33 | — | — | 2026-01-01 |
| 19 | Alabama | $80.12 | — | — | 2025-12-01 |
| 20 | Arkansas | $77.27 | — | — | 2025-06-13 |
| 21 | Washington | $76.89 | — | — | 2026-07-01 |
| 22 | West Virginia | $75.15 | — | — | 2026-04-01 |
| 23 | Kansas | $73.68 | — | — | 2024-08-01 |
| 24 | Michigan | $69.15 | — | — | 2025-01-01 |
| 25 | Massachusetts | $63.68 | — | — | 2026-10-01 |
| 26 | Iowa | $58.46 | — | — | 2018-09-01 |
| 27 | Pennsylvania | $44.57 | — | — | 2016-10-31 |
| 28 | Missouri | $20.33 | — | — | 2022-07-01 |
| 29 | Rhode Island | $0.01 | — | — | 2016-01-01 |
What it costs to deliver in Hawaii
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | HI median | US median | vs US |
|---|---|---|---|
| Mental health counselor | $28.89 | $28.53 | +1.3% |
| Mental health social worker | $26.15 | $28.98 | -9.8% |
| Clinical psychologist | $56.66 | $48.36 | +17.2% |
| Psychiatrist | $139.42 | $135.51 | +2.9% |
| Nurse practitioner | $65.18 | $63.61 | +2.5% |
| Psychiatric technician | $26.51 | $21.70 | +22.2% |
Recent Hawaii behavioral health 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.
Rates are taken from Hawaii's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.