The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Washington behavioral health schedule has 54 codes.
- Every code on all 51 published schedules
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Published codes
54
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
73.2%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common behavioral health procedures and what Washington Medicaid pays
A curated sample of recognizable procedures from the 54-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 | Washington rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $127.46 | 73.5% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $120.20 | 59.5% |
| 90832 | Psychotherapy, 30 minutes | $63.01 | 73.4% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $59.49 | 73% |
| 90834 | Psychotherapy, 45 minutes | $83.48 | 73.3% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $75.48 | 73.1% |
| 90837 | Psychotherapy, 60 minutes | $122.51 | 73.4% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $99.94 | 73.2% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $76.89 | 72.6% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $79.71 | 72.8% |
| 90849 | Multiple-family group psychotherapy | $30.10 | 74.5% |
| 90853 | Group psychotherapy | $22.33 | 73.5% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $218.67 | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $117.33 | -- |
| 90870 | Electroconvulsive therapy (ECT) | $110.65 | 60.8% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $31.07 | -- |
| H0031 | Mental health assessment, by non-physician | $191.11* | -- |
| H0038 | Self-help/peer services, per 15 minutes | $15.01* | -- |
| H2019 | Therapeutic behavioral services, per 15 minutes | $36.35* | -- |
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 Washington Medicaid fee schedules
- Washington physician fee schedule · 6,545 codes
- Washington lab & imaging fee schedule · 2,051 codes
- Washington dme & supplies fee schedule · 1,647 codes
- Washington drugs fee schedule · 881 codes
- Washington other services fee schedule · 275 codes
- Washington vision fee schedule · 66 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Washington Medicaid pay for behavioral health services?
Washington Medicaid publishes 54 behavioral health procedure rates effective 2026, paying a median 73.2% 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 Washington's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Washington Medicaid pays a median 73.2% 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 Washington?
Washington 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 Washington'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 Washington changes these rates.