The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Idaho behavioral health schedule has 25 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
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Published codes
25
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
84.1%
vs national Medicare, GPCI-neutral
PA required
2
codes flagged by the state
Common behavioral health procedures and what Idaho Medicaid pays
A curated sample of recognizable procedures from the 25-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 | Idaho rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $146.40 | 84.5% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $168.04 | 83.2% |
| 90832 | Psychotherapy, 30 minutes | $72.59 | 84.6% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $67.82 | 83.2% |
| 90834 | Psychotherapy, 45 minutes | $96.19 | 84.5% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $86.02 | 83.3% |
| 90837 | Psychotherapy, 60 minutes | $141.23 | 84.6% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $113.64 | 83.2% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $135.32 | 84.4% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $65.02 | 84.3% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $90.10 | 85.1% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $93.43 | 85.3% |
| 90849 | Multiple-family group psychotherapy | $33.41 | 82.7% |
| 90853 | Group psychotherapy | $25.57 | 84.1% |
| 90870 | Electroconvulsive therapy (ECT) | $149.31 | 82% |
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 Idaho Medicaid fee schedules
- Idaho physician fee schedule · 6,717 codes
- Idaho lab & imaging fee schedule · 2,129 codes
- Idaho dme & supplies fee schedule · 2,014 codes
- Idaho drugs fee schedule · 876 codes
- Idaho other services fee schedule · 394 codes
- Idaho vision fee schedule · 146 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Idaho Medicaid pay for behavioral health services?
Idaho Medicaid publishes 25 behavioral health procedure rates effective 2026, paying a median 84.1% 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 Idaho's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Idaho Medicaid pays a median 84.1% 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 Idaho?
Idaho 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 Idaho'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 Idaho changes these rates.