The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Montana behavioral health schedule has 26 codes.
- Every code on all 51 published schedules
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Published codes
26
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
130%
vs national Medicare, GPCI-neutral
PA required
4
codes flagged by the state
Common behavioral health procedures and what Montana Medicaid pays
A curated sample of recognizable procedures from the 26-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 | Montana rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $234.22 | 135.1% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $263.65 | 130.5% |
| 90832 | Psychotherapy, 30 minutes | $110.75 | 129% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $102.13 | 125.3% |
| 90834 | Psychotherapy, 45 minutes | $146.17 | 128.3% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $129.78 | 125.7% |
| 90837 | Psychotherapy, 60 minutes | $216.51 | 129.6% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $172.42 | 126.2% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $208.34 | 130% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $102.13 | 132.4% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $138.46 | 130.8% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $144.36 | 131.8% |
| 90849 | Multiple-family group psychotherapy | $52.68 | 130.4% |
| 90853 | Group psychotherapy | $39.51 | 130% |
| 90870 | Electroconvulsive therapy (ECT) | $233.77 | 128.4% |
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 Montana Medicaid fee schedules
- Montana physician fee schedule · 7,001 codes
- Montana lab & imaging fee schedule · 2,711 codes
- Montana dme & supplies fee schedule · 1,843 codes
- Montana drugs fee schedule · 895 codes
- Montana other services fee schedule · 726 codes
- Montana anesthesia fee schedule · 275 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Montana Medicaid pay for behavioral health services?
Montana Medicaid publishes 26 behavioral health procedure rates effective 2026, paying a median 130% 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 Montana's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Montana Medicaid pays a median 130% 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 Montana?
Montana publishes prior-authorization flags on its schedule: 4 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 Montana'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 Montana changes these rates.