The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full District of Columbia behavioral health schedule has 68 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Published codes
68
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
86.9%
vs national Medicare, GPCI-neutral
PA required
2
+12 conditional or varies
Common behavioral health procedures and what District of Columbia Medicaid pays
A curated sample of recognizable procedures from the 68-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 | District of Columbia rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $150.61 | 86.9% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $176.36 | 87.3% |
| 90832 | Psychotherapy, 30 minutes | $74.45 | 86.7% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $71.02 | 87.1% |
| 90834 | Psychotherapy, 45 minutes | $98.82 | 86.8% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $89.94 | 87.1% |
| 90837 | Psychotherapy, 60 minutes | $144.82 | 86.7% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $119.06 | 87.2% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $139.18 | 86.8% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $67.01 | 86.9% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $90.65 | 85.6% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $93.74 | 85.6% |
| 90849 | Multiple-family group psychotherapy | $35.83 | 88.7% |
| 90853 | Group psychotherapy | $26.41 | 86.9% |
| 90870 | Electroconvulsive therapy (ECT) | $163.11 | 89.6% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $15.60 | -- |
| H0031 | Mental health assessment, by non-physician | $311.79* | -- |
| H0038 | Self-help/peer services, per 15 minutes | $25.77* | -- |
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 District of Columbia Medicaid fee schedules
- District of Columbia physician fee schedule · 6,530 codes
- District of Columbia lab & imaging fee schedule · 1,998 codes
- District of Columbia dme & supplies fee schedule · 1,711 codes
- District of Columbia drugs fee schedule · 868 codes
- District of Columbia other services fee schedule · 454 codes
- District of Columbia vision fee schedule · 160 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does District of Columbia Medicaid pay for behavioral health services?
District of Columbia Medicaid publishes 68 behavioral health procedure rates effective 2026, paying a median 86.9% 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 District of Columbia's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, District of Columbia Medicaid pays a median 86.9% 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 District of Columbia?
District of Columbia publishes prior-authorization flags on its schedule: 2 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 District of Columbia'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 District of Columbia changes these rates.