Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0010. 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
12
Median % of Medicare
--
Rate range
$100.00 - $880.84
H0010 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $355.80* | -- | -- | 2026 |
| District of Columbia | $880.84* | -- | Not required | 2025 |
| Illinois | $478.44 | -- | -- | 2026 |
| Indiana | $534.79* | -- | Required | 2026 |
| Kansas | $166.40* | -- | -- | 2022 |
| Massachusetts | $500.62 | -- | -- | 2026 |
| Maine | $277.78 | -- | -- | 2026 |
| Missouri | $298.65 | -- | Not required | 2022 |
| New Hampshire | $594.38 | -- | Not required | 2026 |
| Vermont | $100.00 | -- | -- | 2004 |
| Washington | $195.64* | -- | -- | 2026 |
| Wyoming | $141.10 | -- | -- | 2024 |
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 H0010?
12 state Medicaid programs publish a fee-for-service rate for H0010 (alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)), ranging from $100.00 in Vermont to $880.84 in District of Columbia. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0010?
District of Columbia publishes the highest Medicaid rate for H0010 at $880.84. Vermont publishes the lowest at $100.00.
Does H0010 require prior authorization under Medicaid?
1 of the 12 publishing states flag H0010 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".