The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Indiana behavioral health schedule has 43 codes.
- Every code on all 51 published schedules
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Published codes
43
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
89.8%
vs national Medicare, GPCI-neutral
PA required
24
codes flagged by the state
Common behavioral health procedures and what Indiana Medicaid pays
A curated sample of recognizable procedures from the 43-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 | Indiana rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $164.46 | 94.9% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $183.90 | 91% |
| 90832 | Psychotherapy, 30 minutes | $76.90 | 89.6% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $70.39 | 86.4% |
| 90834 | Psychotherapy, 45 minutes | $101.51 | 89.1% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $89.41 | 86.6% |
| 90837 | Psychotherapy, 60 minutes | $150.29 | 90% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $118.40 | 86.7% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $144.13 | 89.9% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $70.39 | 91.2% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $96.75 | 91.4% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $100.90 | 92.1% |
| 90849 | Multiple-family group psychotherapy | $35.95 | 89% |
| 90853 | Group psychotherapy | $27.30 | 89.8% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $180.63 | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $142.09 | -- |
| 90870 | Electroconvulsive therapy (ECT) | $161.34 | 88.6% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $18.56* | -- |
| H0031 | Mental health assessment, by non-physician | $300.30 | -- |
| H0038 | Self-help/peer services, per 15 minutes | $12.65 | -- |
| H2019 | Therapeutic behavioral services, per 15 minutes | $22.50* | -- |
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 Indiana Medicaid fee schedules
- Indiana physician fee schedule · 6,764 codes
- Indiana lab & imaging fee schedule · 2,177 codes
- Indiana dme & supplies fee schedule · 2,074 codes
- Indiana drugs fee schedule · 865 codes
- Indiana other services fee schedule · 595 codes
- Indiana vision fee schedule · 149 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Indiana Medicaid pay for behavioral health services?
Indiana Medicaid publishes 43 behavioral health procedure rates effective 2026, paying a median 89.8% 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 Indiana's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Indiana Medicaid pays a median 89.8% 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 Indiana?
Indiana publishes prior-authorization flags on its schedule: 24 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 Indiana'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 Indiana changes these rates.