The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Rhode Island behavioral health schedule has 16 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
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Published codes
16
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
131.4%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common behavioral health procedures and what Rhode Island Medicaid pays
A curated sample of recognizable procedures from the 16-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 | Rhode Island rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $149.97 | 86.5% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $149.97 | 74.2% |
| 90832 | Psychotherapy, 30 minutes | $112.79 | 131.4% |
| 90834 | Psychotherapy, 45 minutes | $149.97 | 131.7% |
| 90837 | Psychotherapy, 60 minutes | $149.97 | 89.8% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $149.97 | 93.5% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $241.33 | 220.3% |
| 90849 | Multiple-family group psychotherapy | $95.14 | 235.4% |
| 90853 | Group psychotherapy | $95.14 | 313.1% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $262.40 | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $262.40 | -- |
| 90870 | Electroconvulsive therapy (ECT) | $558.46 | 306.8% |
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 Rhode Island Medicaid fee schedules
- Rhode Island physician fee schedule · 5,024 codes
- Rhode Island lab & imaging fee schedule · 2,784 codes
- Rhode Island drugs fee schedule · 589 codes
- Rhode Island other services fee schedule · 261 codes
- Rhode Island vision fee schedule · 53 codes
- Rhode Island dme & supplies fee schedule · 23 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Rhode Island Medicaid pay for behavioral health services?
Rhode Island Medicaid publishes 16 behavioral health procedure rates effective 2026, paying a median 131.4% 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 Rhode Island's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Rhode Island Medicaid pays a median 131.4% 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 Rhode Island?
Rhode Island 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 Rhode Island'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 Rhode Island changes these rates.