H0004 Medicaid Rate by State

Behavioral health counseling and therapy, per 15 minutes

26 state Medicaid programs publish a fee-for-service rate for H0004 (behavioral health counseling and therapy, per 15 minutes), ranging from $10.00 in Louisiana to $162.68 in Kentucky.

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This page shows one representative rate per state for H0004. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

26

Median % of Medicare

--

Rate range

$10.00 - $162.68

H0004 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$45.52----2026
California$28.38----2026
District of Columbia$15.60--Varies2008
Delaware$22.10----2026
Iowa$18.32----2024
Illinois$26.62----2026
Indiana$18.56*--Required2026
Kentucky$162.68----2026
Louisiana$10.00----2026
Massachusetts$33.10----2026
Maine$33.52*----2026
Michigan$21.63----2026
Missouri$34.46--Not required2022
North Carolina$19.81----2012
North Dakota$28.65--Not required2026
New Hampshire$66.24--Not required2026
Nevada$31.79----2024
Ohio$11.25----2026
South Dakota$31.87----2026
Texas$23.51*----2026
Utah$14.16*--Not required2021
Virginia$25.56----2025
Vermont$30.62----2026
Washington$31.07----2026
Wisconsin$15.95----2025
Wyoming$26.76*----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

Frequently asked questions

How much does Medicaid pay for H0004?

26 state Medicaid programs publish a fee-for-service rate for H0004 (behavioral health counseling and therapy, per 15 minutes), ranging from $10.00 in Louisiana to $162.68 in Kentucky. The full table on this page lists every publishing state's current rate.

Which state pays the most for H0004?

Kentucky publishes the highest Medicaid rate for H0004 at $162.68. Louisiana publishes the lowest at $10.00.

Does H0004 require prior authorization under Medicaid?

1 of the 26 publishing states flag H0004 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".