The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Maryland behavioral health schedule has 37 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
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Published codes
37
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
116.6%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Maryland publishes fee schedules for two carve-outs: durable medical equipment (with prosthetics, orthotics, and supplies), and behavioral health, which runs fee-for-service through the state's Public Behavioral Health System with rates published by credential tier (psychiatrist, psychiatric NP, psychologist, licensed counselors), plus OMHC, SUD program, and ABA schedules. Other medical categories are paid through managed care and are not published as FFS rates.
Common behavioral health procedures and what Maryland Medicaid pays
A curated sample of recognizable procedures from the 37-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 | Maryland rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $235.66 | 135.9% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $235.66 | 116.6% |
| 90832 | Psychotherapy, 30 minutes | $77.77 | 90.6% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $77.77 | 95.4% |
| 90834 | Psychotherapy, 45 minutes | $141.31 | 124.1% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $141.31 | 136.9% |
| 90837 | Psychotherapy, 60 minutes | $141.31 | 84.6% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $141.31 | 103.4% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $158.63 | 98.9% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $85.82 | 111.2% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $132.10 | 124.8% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $147.14 | 134.3% |
| 90849 | Multiple-family group psychotherapy | $63.12 | 156.2% |
| 90853 | Group psychotherapy | $38.47 | 126.6% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $230.18 | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $211.12 | -- |
| 90870 | Electroconvulsive therapy (ECT) | $149.88 | 82.3% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $31.06* | -- |
| H0038 | Self-help/peer services, per 15 minutes | $18.77 | -- |
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.
This table is the common-procedure sample. Every Maryland behavioral health code, plus all 51 jurisdictions, exports as CSV on the Rates plan.
More Maryland Medicaid fee schedules
- Maryland fee schedule overview
- Maryland dme & supplies fee schedule · 1,785 codes
- Maryland physician fee schedule · 64 codes
- Maryland other services fee schedule · 44 codes
- Maryland vision fee schedule · 7 codes
- Maryland drugs fee schedule · 6 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Maryland Medicaid pay for behavioral health services?
Maryland Medicaid publishes 37 behavioral health procedure rates effective 2026, paying a median 116.6% 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 Maryland's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Maryland Medicaid pays a median 116.6% 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 Maryland?
Maryland 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 Maryland'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.