The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full South Dakota behavioral health schedule has 19 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
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Published codes
19
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2026
latest effective year on the schedule
Common behavioral health procedures and what South Dakota Medicaid pays
A curated sample of recognizable procedures from the 19-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 | South Dakota rate | % of Medicare |
|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $31.87 | -- |
| H0038 | Self-help/peer services, per 15 minutes | $17.32 | -- |
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 South Dakota Medicaid fee schedules
- South Dakota other services fee schedule · 34 codes
- South Dakota transport fee schedule · 12 codes
- South Dakota physician fee schedule · 1 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does South Dakota Medicaid pay for behavioral health services?
South Dakota Medicaid publishes 19 behavioral health procedure rates effective 2026 on its fee-for-service schedule. 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 South Dakota's behavioral health rates compare with Medicare?
Most behavioral health codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do behavioral health services need prior authorization in South Dakota?
South Dakota 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 South Dakota'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 South Dakota changes these rates.