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Service benchmark · Behavioral health

Psychiatric emergency program visit (CPEP): Medicaid rates by state

1 states publish a Medicaid rate for psychiatric emergency program visit (CPEP). The median is —; rates range from $1,467.74 in New York to $1,467.74 in New York.

1 statesCompared as publishedSources: official state Medicaid publications

States
1
Median
—
Highest
$1,467.74New York
Lowest
$1,467.74New York
Rates on file
149
State ranking

Psychiatric emergency program visit (CPEP): highest and lowest states

Headline rate per state for the same provider level, as published.

#StateRateUnitPer hourEffective
1New YorkAny qualified provider (rate does not vary by provider)$1,467.74visit—2023-04-01
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About this benchmark

How psychiatric emergency program visit (CPEP) is compared

States publish psychiatric emergency program visit (CPEP) under their own codes, modifiers and units. To compare them, this page picks the rate in each state that matches the same service and provider level.

  • Provider level. States are compared at the same provider level wherever the schedule distinguishes one. Rates for other levels on file (any qualified provider) are kept separate, never mixed into this ranking.
  • Unit. All 1 states publish their headline rate per visit, so the amounts compare directly. The ranking uses the rate as published, so read the unit before comparing two states.
  • Variants. 1 of the 1 states publish more than one rate for this service (by modifier, program, setting or provider type); the headline rate is the one that matches the comparison, and the workspace lists every variant.
  • Depth. 149 rates for this service are on file across all states, versions and provider levels; this page shows one headline rate per state.
Context

Why psychiatric emergency program visit (CPEP) rates differ between states

The highest-paying state, New York, pays $1,467.74; the lowest, New York, pays $1,467.74. 1 of the 1 states pay above the median of —. Common reasons rates for behavioral health services spread this way:

  • Many states pay behavioral health services differently by the practitioner's credential, from psychiatrist and psychologist to licensed clinical social worker, counselor and peer specialist.
  • States add enhanced rates for crisis services, certified community behavioral health clinics and integrated care that sit outside the base schedule.
  • Community mental health and substance use services are often billed under H and T codes that each state defines for itself, so the same code can describe a different service in two states.

Billing notes

Modifiers such as HO (master's level), HN (bachelor's level) and HP (doctoral level) identify the practitioner, and many states publish a different rate for each. Psychotherapy codes are defined by session length, so one unit is one session of the stated duration; H codes are billed in whatever unit the state defines, often 15 minutes, an hour or a day.

FAQ

Frequently asked questions

Which state pays the most for psychiatric emergency program visit (CPEP)?

New York: $1,467.74 per visit.

Which state pays the least for psychiatric emergency program visit (CPEP)?

New York: $1,467.74 per visit.

What is the average Medicaid rate for psychiatric emergency program visit (CPEP)?

Across 1 states the median is —, comparing the same provider level in each state. 1 states pay above it.

How are the states compared?

One headline rate per state, matched on the service and provider level, as published. Rates for other provider levels and add-ons are not mixed in.

What unit is psychiatric emergency program visit (CPEP) billed in?

All 1 states publish it per visit, so the amounts compare directly.

Do managed-care plans pay these rates?

It depends on the state. Each state's managed-care page shows whether plans must pay at least the published rate, follow a state-set rate, or negotiate their own for this service line.