The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Texas behavioral health schedule has 31 codes.
- Every code on all 51 published schedules
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Published codes
31
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
76.2%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common behavioral health procedures and what Texas Medicaid pays
A curated sample of recognizable procedures from the 31-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 | Texas rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $137.93* | 79.6% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $155.30* | 76.9% |
| 90832 | Psychotherapy, 30 minutes | $65.22* | 76% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $60.14* | 73.8% |
| 90834 | Psychotherapy, 45 minutes | $86.07* | 75.6% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $76.45* | 74.1% |
| 90837 | Psychotherapy, 60 minutes | $127.50* | 76.3% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $101.58* | 74.4% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $85.60* | 80.8% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $85.00* | 77.6% |
| 90853 | Group psychotherapy | $23.26* | 76.5% |
| 90870 | Electroconvulsive therapy (ECT) | $83.40* | 45.8% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $23.51* | -- |
| H0031 | Mental health assessment, by non-physician | $28.91* | -- |
| H0038 | Self-help/peer services, per 15 minutes | $8.55* | -- |
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 Texas Medicaid fee schedules
- Texas physician fee schedule · 6,550 codes
- Texas lab & imaging fee schedule · 2,128 codes
- Texas dme & supplies fee schedule · 1,910 codes
- Texas drugs fee schedule · 834 codes
- Texas other services fee schedule · 345 codes
- Texas vision fee schedule · 143 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Texas Medicaid pay for behavioral health services?
Texas Medicaid publishes 31 behavioral health procedure rates effective 2026, paying a median 76.2% 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 Texas's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Texas Medicaid pays a median 76.2% 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 Texas?
Texas 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 Texas'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 Texas changes these rates.