Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0005. 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
21
Median % of Medicare
--
Rate range
$1.34 - $113.67
H0005 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $1.34 | -- | -- | 2026 |
| District of Columbia | $4.10 | -- | Not required | 2004 |
| Delaware | $13.25 | -- | -- | 2026 |
| Illinois | $10.09 | -- | -- | 2026 |
| Indiana | $14.58* | -- | Required | 2010 |
| Kansas | $8.84* | -- | -- | 2022 |
| Louisiana | $10.00* | -- | -- | 2026 |
| Massachusetts | $29.79 | -- | -- | 2026 |
| Maryland | $60.62* | -- | -- | 2026 |
| Michigan | $52.91 | -- | -- | 2026 |
| Minnesota | $34.00 | -- | Required | 2026 |
| Missouri | $6.89 | -- | Not required | 2022 |
| North Carolina | $5.12 | -- | -- | 2012 |
| New Hampshire | $35.22 | -- | Not required | 2026 |
| New Jersey | $23.00 | -- | Required | 2026 |
| Nevada | $29.85 | -- | -- | 2024 |
| South Dakota | $8.98 | -- | -- | 2026 |
| Texas | $27.85* | -- | -- | 2026 |
| Virginia | $7.72 | -- | -- | 2025 |
| Vermont | $113.67 | -- | -- | 2026 |
| Wisconsin | $3.82 | -- | -- | 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 H0005?
21 state Medicaid programs publish a fee-for-service rate for H0005 (alcohol and/or drug services; group counseling by a clinician), ranging from $1.34 in California to $113.67 in Vermont. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0005?
Vermont publishes the highest Medicaid rate for H0005 at $113.67. California publishes the lowest at $1.34.
Does H0005 require prior authorization under Medicaid?
3 of the 21 publishing states flag H0005 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".