The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Ohio behavioral health schedule has 30 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
30
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 Ohio Medicaid pays
A curated sample of recognizable procedures from the 30-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 | Ohio rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $117.91 | 68% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $130.20 | 64.4% |
| 90832 | Psychotherapy, 30 minutes | $56.93 | 66.3% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $58.96 | 72.3% |
| 90834 | Psychotherapy, 45 minutes | $74.01 | 65% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $74.90 | 72.6% |
| 90837 | Psychotherapy, 60 minutes | $108.57 | 65% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $98.80 | 72.3% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $154.87 | 96.6% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $73.92 | 95.8% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $92.26 | 87.1% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $90.85 | 82.9% |
| 90849 | Multiple-family group psychotherapy | $36.67 | 90.7% |
| 90853 | Group psychotherapy | $29.85 | 98.2% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $157.12 | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $144.93 | -- |
| 90870 | Electroconvulsive therapy (ECT) | $88.42 | 48.6% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $11.25 | -- |
| H0031 | Mental health assessment, by non-physician | $48.50 | -- |
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 Ohio Medicaid fee schedules
- Ohio physician fee schedule · 6,547 codes
- Ohio lab & imaging fee schedule · 2,200 codes
- Ohio dme & supplies fee schedule · 2,016 codes
- Ohio vision fee schedule · 163 codes
- Ohio other services fee schedule · 140 codes
- Ohio hearing fee schedule · 34 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Ohio Medicaid pay for behavioral health services?
Ohio Medicaid publishes 30 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 Ohio's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Ohio 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 Ohio?
Ohio 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 Ohio'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 Ohio changes these rates.