The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Michigan behavioral health schedule has 29 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Published codes
29
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
66.4%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common behavioral health procedures and what Michigan Medicaid pays
A curated sample of recognizable procedures from the 29-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 | Michigan rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $169.57 | 97.8% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $197.81 | 97.9% |
| 90832 | Psychotherapy, 30 minutes | $56.95 | 66.3% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $54.10 | 66.4% |
| 90834 | Psychotherapy, 45 minutes | $75.57 | 66.4% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $68.48 | 66.4% |
| 90837 | Psychotherapy, 60 minutes | $110.81 | 66.4% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $90.69 | 66.4% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $106.34 | 66.3% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $51.18 | 66.3% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $73.47 | 67.1% |
| 90853 | Group psychotherapy | $20.16 | 66.3% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $123.06 | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $97.23 | -- |
| 90870 | Electroconvulsive therapy (ECT) | $117.92 | 64.8% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $21.63 | -- |
| H0031 | Mental health assessment, by non-physician | $38.40 | -- |
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 Michigan behavioral health code, plus all 51 jurisdictions, exports as CSV on the Rates plan.
More Michigan Medicaid fee schedules
- Michigan fee schedule overview
- Michigan physician fee schedule · 6,955 codes
- Michigan lab & imaging fee schedule · 2,094 codes
- Michigan dme & supplies fee schedule · 1,661 codes
- Michigan drugs fee schedule · 852 codes
- Michigan other services fee schedule · 666 codes
- Michigan vision fee schedule · 129 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Michigan Medicaid pay for behavioral health services?
Michigan Medicaid publishes 29 behavioral health procedure rates effective 2026, paying a median 66.4% 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 Michigan's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Michigan Medicaid pays a median 66.4% 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 Michigan?
Michigan 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 Michigan'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.