The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Massachusetts behavioral health schedule has 44 codes.
- Every code on all 51 published schedules
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Published codes
44
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
65.7%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common behavioral health procedures and what Massachusetts Medicaid pays
A curated sample of recognizable procedures from the 44-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 | Massachusetts rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $128.70 | 74.2% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $144.56 | 71.5% |
| 90832 | Psychotherapy, 30 minutes | $55.55 | 64.7% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $51.05 | 62.6% |
| 90834 | Psychotherapy, 45 minutes | $73.46 | 64.5% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $64.73 | 62.7% |
| 90837 | Psychotherapy, 60 minutes | $108.09 | 64.7% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $85.64 | 62.7% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $103.82 | 64.8% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $51.45 | 66.7% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $69.54 | 65.7% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $72.52 | 66.2% |
| 90849 | Multiple-family group psychotherapy | $27.97 | 69.2% |
| 90853 | Group psychotherapy | $19.67 | 64.7% |
| 90870 | Electroconvulsive therapy (ECT) | $130.44 | 71.7% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $33.10 | -- |
| H0038 | Self-help/peer services, per 15 minutes | $28.91 | -- |
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 Massachusetts Medicaid fee schedules
- Massachusetts physician fee schedule · 6,679 codes
- Massachusetts dme & supplies fee schedule · 2,235 codes
- Massachusetts lab & imaging fee schedule · 2,166 codes
- Massachusetts other services fee schedule · 165 codes
- Massachusetts vision fee schedule · 149 codes
- Massachusetts drugs fee schedule · 66 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Massachusetts Medicaid pay for behavioral health services?
Massachusetts Medicaid publishes 44 behavioral health procedure rates effective 2026, paying a median 65.7% 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 Massachusetts's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Massachusetts Medicaid pays a median 65.7% 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 Massachusetts?
Massachusetts 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 Massachusetts'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 Massachusetts changes these rates.