The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full West Virginia behavioral health schedule has 25 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
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Published codes
25
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
69.8%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common behavioral health procedures and what West Virginia Medicaid pays
A curated sample of recognizable procedures from the 25-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 | West Virginia rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $120.78 | 69.7% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $141.76 | 70.2% |
| 90832 | Psychotherapy, 30 minutes | $59.78 | 69.6% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $57.34 | 70.4% |
| 90834 | Psychotherapy, 45 minutes | $79.54 | 69.8% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $72.47 | 70.2% |
| 90837 | Psychotherapy, 60 minutes | $116.39 | 69.7% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $95.89 | 70.2% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $111.75 | 69.7% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $53.92 | 69.9% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $75.15 | 71% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $77.59 | 70.8% |
| 90849 | Multiple-family group psychotherapy | $27.82 | 68.8% |
| 90853 | Group psychotherapy | $21.23 | 69.9% |
| 90870 | Electroconvulsive therapy (ECT) | $123.71 | 68% |
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 West Virginia Medicaid fee schedules
- West Virginia physician fee schedule · 6,891 codes
- West Virginia lab & imaging fee schedule · 2,101 codes
- West Virginia dme & supplies fee schedule · 1,528 codes
- West Virginia other services fee schedule · 299 codes
- West Virginia anesthesia fee schedule · 286 codes
- West Virginia vision fee schedule · 66 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does West Virginia Medicaid pay for behavioral health services?
West Virginia Medicaid publishes 25 behavioral health procedure rates effective 2026, paying a median 69.8% 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 West Virginia's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, West Virginia Medicaid pays a median 69.8% 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 West Virginia?
West Virginia 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 West Virginia'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 West Virginia changes these rates.