The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Missouri behavioral health schedule has 61 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
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.
| Code | Procedure | Missouri rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $160.00 | 92.3% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $160.00 | 79.2% |
| 90832 | Psychotherapy, 30 minutes | $69.48* | 80.9% |
| 90834 | Psychotherapy, 45 minutes | $160.00 | 140.5% |
| 90837 | Psychotherapy, 60 minutes | $160.00 | 95.8% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $63.24* | 39.4% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $71.17 | 92.2% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $160.00 | 151.1% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $160.00 | 146.1% |
| 90849 | Multiple-family group psychotherapy | $34.88 | 86.3% |
| 90853 | Group psychotherapy | $91.58 | 301.3% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $138.84 | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $109.76 | -- |
| 90870 | Electroconvulsive therapy (ECT) | $174.40 | 95.8% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $34.46 | -- |
| H0031 | Mental health assessment, by non-physician | $951.27 | -- |
| H0038 | Self-help/peer services, per 15 minutes | $26.23 | -- |
| H2019 | Therapeutic 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
- Missouri physician fee schedule · 6,776 codes
- Missouri lab & imaging fee schedule · 2,806 codes
- Missouri dme & supplies fee schedule · 1,621 codes
- Missouri other services fee schedule · 603 codes
- Missouri anesthesia fee schedule · 275 codes
- Missouri vision fee schedule · 147 codes
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.