Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90863. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
20
Median % of Medicare
--
Rate range
$4.49 - $99.05
90863 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $99.05 | -- | -- | 2026 |
| Alabama | $37.00 | -- | -- | 2026 |
| Colorado | $37.03 | -- | -- | 2026 |
| District of Columbia | $22.91 | -- | Not required | 2026 |
| Iowa | $22.04 | -- | -- | 2025 |
| Idaho | $48.21 | -- | Not required | 2025 |
| Kansas | $50.96 | -- | -- | 2022 |
| Louisiana | $25.74 | -- | -- | 2026 |
| Massachusetts | $18.71 | -- | -- | 2026 |
| Maine | $18.06 | -- | -- | 2026 |
| Montana | $38.19 | -- | -- | 2026 |
| Nebraska | $32.90 | -- | -- | 2026 |
| New Hampshire | $4.49 | -- | Not required | 2026 |
| New Mexico | $30.00 | -- | -- | 2026 |
| Nevada | $46.53 | -- | -- | 2024 |
| New York | $41.32 | -- | -- | 2026 |
| Ohio | $25.95 | -- | -- | 2024 |
| South Carolina | $16.83 | -- | -- | 2024 |
| Virginia | $48.93 | -- | -- | 2013 |
| West Virginia | $18.06 | -- | -- | 2026 |
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 * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related behavioral health codes
- 90785 - Psychotherapy interactive complexity (add-on)
- 90791 - Psychiatric diagnostic evaluation, no medical services
- 90792 - Psychiatric diagnostic evaluation with medical services
- 90832 - Psychotherapy, 30 minutes
- 90833 - Psychotherapy, 30 minutes, added to an E&M visit
- 90834 - Psychotherapy, 45 minutes
- 90836 - Psychotherapy, 45 minutes, added to an E&M visit
- 90837 - Psychotherapy, 60 minutes
All 28 codes from 90785 to 90889 or every behavioral health code by number.
Frequently asked questions
How much does Medicaid pay for 90863?
20 state Medicaid programs publish a fee-for-service rate for 90863 (medication management with psychotherapy (add-on)), ranging from $4.49 in New Hampshire to $99.05 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90863?
Alaska publishes the highest Medicaid rate for 90863 at $99.05. New Hampshire publishes the lowest at $4.49.
Does 90863 require prior authorization under Medicaid?
No publishing state flags 90863 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.