Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0011. 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
11
Median % of Medicare
--
Rate range
$180.00 - $976.29
H0011 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $976.29 | -- | -- | 2026 |
| Delaware | $452.43 | -- | -- | 2026 |
| Kansas | $250.00 | -- | -- | 2007 |
| Kentucky | $320.30 | -- | -- | 2026 |
| Massachusetts | $625.28 | -- | -- | 2026 |
| Missouri | $510.09 | -- | Not required | 2022 |
| North Dakota | $796.50 | -- | Not required | 2026 |
| Nevada | $472.02 | -- | -- | 2024 |
| Vermont | $180.00 | -- | -- | 2003 |
| Washington | $364.00* | -- | -- | 2026 |
| Wyoming | $355.09* | -- | -- | 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 26 codes from H0001 to H0050 or every behavioral health code by number.
Frequently asked questions
How much does Medicaid pay for H0011?
11 state Medicaid programs publish a fee-for-service rate for H0011 (alcohol and/or drug services; acute detoxification (residential addiction program inpatient)), ranging from $180.00 in Vermont to $976.29 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0011?
Colorado publishes the highest Medicaid rate for H0011 at $976.29. Vermont publishes the lowest at $180.00.
Does H0011 require prior authorization under Medicaid?
No publishing state flags H0011 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.