The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Maine behavioral health schedule has 39 codes.
- Every code on all 51 published schedules
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Published codes
39
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
70.8%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common behavioral health procedures and what Maine Medicaid pays
A curated sample of recognizable procedures from the 39-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 | Maine rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $122.75 | 70.8% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $141.42 | 70% |
| 90832 | Psychotherapy, 30 minutes | $60.86 | 70.9% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $57.09 | 70% |
| 90834 | Psychotherapy, 45 minutes | $80.68 | 70.8% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $72.36 | 70.1% |
| 90837 | Psychotherapy, 60 minutes | $118.41 | 70.9% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $95.66 | 70% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $113.50 | 70.8% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $54.55 | 70.7% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $75.61 | 71.4% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $78.36 | 71.5% |
| 90853 | Group psychotherapy | $21.47 | 70.6% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $275.82 | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $160.30 | -- |
| 90870 | Electroconvulsive therapy (ECT) | $125.44 | 68.9% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $33.52* | -- |
| H2019 | Therapeutic behavioral services, per 15 minutes | $112.43* | -- |
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 Maine Medicaid fee schedules
- Maine physician fee schedule · 6,846 codes
- Maine lab & imaging fee schedule · 2,023 codes
- Maine dme & supplies fee schedule · 1,857 codes
- Maine drugs fee schedule · 635 codes
- Maine other services fee schedule · 170 codes
- Maine vision fee schedule · 75 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Maine Medicaid pay for behavioral health services?
Maine Medicaid publishes 39 behavioral health procedure rates effective 2026, paying a median 70.8% 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 Maine's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Maine Medicaid pays a median 70.8% 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 Maine?
Maine 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 Maine'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 Maine changes these rates.