Florida Medicaid Behavioral Health Fee Schedule 2026

Florida Medicaid publishes 15 behavioral health procedure rates effective 2026, paying a median 62.5% of the national Medicare amount for the same services. This page shows published rates for common behavioral health procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full Florida behavioral health schedule has 15 codes.

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Published codes

15

Behavioral Health procedures on the 2026 schedule

Median % of Medicare

62.5%

vs national Medicare, GPCI-neutral

Effective vintage

2026

latest effective year on the schedule

Common behavioral health procedures and what Florida Medicaid pays

A curated sample of recognizable procedures from the 15-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.

CodeProcedureFlorida rate% of Medicare
90791Psychiatric diagnostic evaluation, no medical services$106.7761.6%
90792Psychiatric diagnostic evaluation with medical services$123.9161.3%
90832Psychotherapy, 30 minutes$54.0362.9%
90833Psychotherapy, 30 minutes, added to an E&M visit$51.1762.8%
90834Psychotherapy, 45 minutes$71.4462.7%
90836Psychotherapy, 45 minutes, added to an E&M visit$64.6862.7%
90837Psychotherapy, 60 minutes$105.2163%
90838Psychotherapy, 60 minutes, added to an E&M visit$85.7262.7%
90847Family psychotherapy with the patient, 50 minutes$80.0173%
90849Multiple-family group psychotherapy$23.3857.9%
90853Group psychotherapy$18.9662.4%
90870Electroconvulsive therapy (ECT)$76.6342.1%

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 Florida Medicaid fee schedules

Behavioral Health rates in neighboring states

Frequently asked questions

What does Florida Medicaid pay for behavioral health services?

Florida Medicaid publishes 15 behavioral health procedure rates effective 2026, paying a median 62.5% 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 Florida's behavioral health rates compare with Medicare?

Across behavioral health codes with a national Medicare comparator, Florida Medicaid pays a median 62.5% 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 Florida?

Florida does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".

Where do these rates come from?

Directly from Florida'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 Florida changes these rates.