Oklahoma Medicaid behavioral health rates
Oklahoma Medicaid pays $49.60 per encounter for outpatient psychotherapy and diagnostic evaluation delivered by a licensed mental health clinician, effective May 1, 2016. Below: 5 more behavioral health rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Outpatient psychotherapy and diagnostic evaluation
- $49.60per encounter
- Rank among states
- —
- Mental health counselor median wage
- $28.53BLS May 2025
- Oklahoma minimum wage
- $7.25
Oklahoma behavioral health rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Oklahoma's official fee schedule.
| Service | Provider level | Code | OK 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 | 90887 | $49.60 | encounter | — | — | $82.90 | $0.01 | $302.03 | 29 |
| Mental health assessment (non-physician) | Physician or licensed psychologist | H0031 | $148.37 | — | — | 9 of 28 | $120.34 | $9.66 | $687.46 | 28 |
| Skills training and development | Physician or licensed psychologist | H2014 | $4.22 | 15 min | $16.88 | 27 of 31 | $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 | H0032 | $82.30 | encounter | — | — | $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 | $336.57 | — | — | — | $525.10/day | $283.19 | $1,244.07 | 15 | |
| Inpatient psychiatric stay (per day) | All levels | $367.42 | — | — | — | $965.06/day | $287.00 | $1,345.00 | 11 | |
Outpatient psychotherapy and diagnostic evaluation: where Oklahoma 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 Oklahoma
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | OK median | US median | vs US |
|---|---|---|---|
| Mental health counselor | $28.53 | $28.53 | 0.0% |
| Mental health social worker | $20.73 | $28.98 | -28.5% |
| Clinical psychologist | $38.44 | $48.36 | -20.5% |
| Psychiatrist | $130.60 | $135.51 | -3.6% |
| Nurse practitioner | $64.13 | $63.61 | +0.8% |
| Psychiatric technician | $18.78 | $21.70 | -13.5% |
Recent Oklahoma behavioral health rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| OHCA public notice: WFTC Public Notice 9.9.26 | proposed | — | 2026-10-01 |
| OHCA public notice: OK SPA 26-0008 - OK SPA 26-0008 Public Notice | proposed | — | 2026-07-01 |
| OHCA public notice: OK SPA 25-0007 - RHC and FQHC Policy Revisions | proposed | — | 2026-01-01 |
| SPA 25-0004 Functional Family Therapy | proposed | — | 2026-01-01 |
| SPARC 2025-09-09: Functional Family Therapy Services (Fft) | hearing | — | 2026-01-01 |
| SPARC 2026-01-12: Behavioral Health Transportation Rates | hearing | — | 2025-12-01 |
| CMS approves OK SPA 25-0018 (Attachment 4.19-B) | approved_cms | +68.4% | 2025-12-01 |
| OHCA global message 12/9/25: Partial Hospitalization Program Rate Increase | effective | +12.2% | 2025-07-01 |
| Partial Hospitalization Program Rate Increase (notice of 6/20/2025) | proposed | +12.2% | 2025-07-01 |
| SPARC 2025-06-17: Reimbursement Rate Increase For T1001 And T1017 | hearing | +35.1% | 2025-07-01 |
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 Oklahoma'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.