The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full New Mexico behavioral health schedule has 53 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
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Published codes
53
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
72.3%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common behavioral health procedures and what New Mexico Medicaid pays
A curated sample of recognizable procedures from the 53-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 | New Mexico rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $104.13 | 60.1% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $104.13 | 51.5% |
| 90832 | Psychotherapy, 30 minutes | $78.32 | 91.2% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $40.93 | 50.2% |
| 90834 | Psychotherapy, 45 minutes | $104.13 | 91.4% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $66.44 | 64.4% |
| 90837 | Psychotherapy, 60 minutes | $104.13 | 62.4% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $98.78 | 72.3% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $104.13 | 65% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $35.00 | 45.4% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $148.99 | 140.7% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $148.99 | 136% |
| 90849 | Multiple-family group psychotherapy | $60.03 | 148.6% |
| 90853 | Group psychotherapy | $60.03 | 197.5% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $434.71 | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $205.42 | -- |
| 90870 | Electroconvulsive therapy (ECT) | $435.84 | 239.4% |
| H0031 | Mental health assessment, by non-physician | $130.00 | -- |
| H0038 | Self-help/peer services, per 15 minutes | $12.00 | -- |
| H2019 | Therapeutic behavioral services, per 15 minutes | $112.89 | -- |
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 New Mexico Medicaid fee schedules
- New Mexico physician fee schedule · 7,208 codes
- New Mexico lab & imaging fee schedule · 2,520 codes
- New Mexico dme & supplies fee schedule · 2,069 codes
- New Mexico drugs fee schedule · 987 codes
- New Mexico other services fee schedule · 525 codes
- New Mexico vision fee schedule · 89 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does New Mexico Medicaid pay for behavioral health services?
New Mexico Medicaid publishes 53 behavioral health procedure rates effective 2026, paying a median 72.3% 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 New Mexico's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, New Mexico Medicaid pays a median 72.3% 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 New Mexico?
New Mexico 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 New Mexico'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 New Mexico changes these rates.