Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0001. 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
23
Median % of Medicare
--
Rate range
$13.87 - $414.34
H0001 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $391.58 | -- | -- | 2026 |
| Arkansas | $107.75* | -- | -- | 2026 |
| Arizona | $37.65 | -- | -- | 2026 |
| California | $17.14 | -- | -- | 2026 |
| District of Columbia | $21.60 | -- | Not required | 2016 |
| Delaware | $141.79 | -- | -- | 2026 |
| Kansas | $135.20 | -- | -- | 2022 |
| Kentucky | $28.70 | -- | -- | 2026 |
| Massachusetts | $33.10 | -- | -- | 2026 |
| Maryland | $220.65* | -- | -- | 2026 |
| Michigan | $146.85 | -- | -- | 2026 |
| Minnesota | $162.24 | -- | Required | 2018 |
| Missouri | $414.34 | -- | Not required | 2022 |
| North Carolina | $13.87 | -- | -- | 2012 |
| New Hampshire | $211.80 | -- | Not required | 2026 |
| New Jersey | $24.50 | -- | Required | 2026 |
| New Mexico | $80.18 | -- | -- | 2026 |
| Nevada | $139.46 | -- | -- | 2026 |
| South Dakota | $36.48 | -- | -- | 2026 |
| Texas | $65.27* | -- | -- | 2022 |
| Vermont | $212.49 | -- | -- | 2026 |
| Washington | $161.59 | -- | -- | 2026 |
| Wisconsin | $33.89 | -- | -- | 2025 |
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 26 codes from H0001 to H0050 or every behavioral health code by number.
Frequently asked questions
How much does Medicaid pay for H0001?
23 state Medicaid programs publish a fee-for-service rate for H0001 (alcohol and/or drug assessment), ranging from $13.87 in North Carolina to $414.34 in Missouri. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0001?
Missouri publishes the highest Medicaid rate for H0001 at $414.34. North Carolina publishes the lowest at $13.87.
Does H0001 require prior authorization under Medicaid?
2 of the 23 publishing states flag H0001 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".