The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Connecticut behavioral health schedule has 73 codes.
- Every code on all 51 published schedules
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Published codes
73
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
86%
vs national Medicare, GPCI-neutral
PA required
18
codes flagged by the state
Common behavioral health procedures and what Connecticut Medicaid pays
A curated sample of recognizable procedures from the 73-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Connecticut rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $153.03 | 88.3% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $153.03 | 75.7% |
| 90832 | Psychotherapy, 30 minutes | $63.82 | 74.3% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $63.82 | 78.3% |
| 90834 | Psychotherapy, 45 minutes | $96.82 | 85% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $93.55 | 90.6% |
| 90837 | Psychotherapy, 60 minutes | $145.17 | 86.9% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $140.26 | 102.7% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $92.31 | 87.2% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $145.17 | 132.5% |
| 90849 | Multiple-family group psychotherapy | $33.47 | 82.8% |
| 90853 | Group psychotherapy | $35.41 | 116.5% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $297.16 | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $132.85 | -- |
| 90870 | Electroconvulsive therapy (ECT) | $98.18 | 53.9% |
| H0031 | Mental health assessment, by non-physician | $116.20 | -- |
| H0038 | Self-help/peer services, per 15 minutes | $13.02 | -- |
| H2019 | Therapeutic behavioral services, per 15 minutes | $34.18 | -- |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More Connecticut Medicaid fee schedules
- Connecticut physician fee schedule · 6,729 codes
- Connecticut lab & imaging fee schedule · 2,170 codes
- Connecticut dme & supplies fee schedule · 1,951 codes
- Connecticut drugs fee schedule · 782 codes
- Connecticut vision fee schedule · 146 codes
- Connecticut other services fee schedule · 138 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Connecticut Medicaid pay for behavioral health services?
Connecticut Medicaid publishes 73 behavioral health procedure rates effective 2026, paying a median 86% of the national Medicare amount for the same services. The schedule covers psychotherapy, psychiatric evaluations, substance-use treatment, and community mental health services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Connecticut's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Connecticut Medicaid pays a median 86% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do behavioral health services need prior authorization in Connecticut?
Connecticut publishes prior-authorization flags on its schedule: 18 behavioral health codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Connecticut's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Connecticut changes these rates.