Missouri Medicaid Behavioral Health Fee Schedule 2026

Missouri Medicaid publishes 61 behavioral health procedure rates effective 2026, paying a median 94.1% of the national Medicare amount for the same services. This page shows published rates for common behavioral health procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full Missouri behavioral health schedule has 61 codes.

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Published codes

61

Behavioral Health procedures on the 2026 schedule

Median % of Medicare

94.1%

vs national Medicare, GPCI-neutral

PA required

2

+2 conditional or varies

Common behavioral health procedures and what Missouri Medicaid pays

A curated sample of recognizable procedures from the 61-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.

CodeProcedureMissouri rate% of Medicare
90791Psychiatric diagnostic evaluation, no medical services$160.0092.3%
90792Psychiatric diagnostic evaluation with medical services$160.0079.2%
90832Psychotherapy, 30 minutes$69.48*80.9%
90834Psychotherapy, 45 minutes$160.00140.5%
90837Psychotherapy, 60 minutes$160.0095.8%
90839Psychotherapy for crisis, first 60 minutes$63.24*39.4%
90840Psychotherapy for crisis, each added 30 minutes$71.1792.2%
90846Family psychotherapy without the patient, 50 minutes$160.00151.1%
90847Family psychotherapy with the patient, 50 minutes$160.00146.1%
90849Multiple-family group psychotherapy$34.8886.3%
90853Group psychotherapy$91.58301.3%
90867Transcranial magnetic stimulation (TMS), initial treatment$138.84--
90868Transcranial magnetic stimulation (TMS), subsequent treatment$109.76--
90870Electroconvulsive therapy (ECT)$174.4095.8%
H0004Behavioral health counseling and therapy, per 15 minutes$34.46--
H0031Mental health assessment, by non-physician$951.27--
H0038Self-help/peer services, per 15 minutes$26.23--
H2019Therapeutic behavioral services, per 15 minutes$20.46--

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 Missouri Medicaid fee schedules

Behavioral Health rates in neighboring states

Frequently asked questions

What does Missouri Medicaid pay for behavioral health services?

Missouri Medicaid publishes 61 behavioral health procedure rates effective 2026, paying a median 94.1% 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 Missouri's behavioral health rates compare with Medicare?

Across behavioral health codes with a national Medicare comparator, Missouri Medicaid pays a median 94.1% 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 Missouri?

Missouri publishes prior-authorization flags on its schedule: 2 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 Missouri'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 Missouri changes these rates.