H0015 Medicaid Rate by State

Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education

22 state Medicaid programs publish a fee-for-service rate for H0015 (alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education), ranging from $31.87 in South Dakota to $442.48 in Indiana.

Every state, kept current

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This page shows one representative rate per state for H0015. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

22

Median % of Medicare

--

Rate range

$31.87 - $442.48

H0015 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$115.74*----2026
Arizona$157.86----2026
Connecticut$173.62--Required2026
District of Columbia$67.50--Not required2004
Delaware$149.68----2026
Indiana$442.48--Required2026
Kansas$137.28*----2022
Kentucky$135.72----2026
Louisiana$300.00*----2026
Massachusetts$121.90----2025
Maryland$194.23*----2026
Maine$220.37----2026
Missouri$247.34--Not required2022
Mississippi$122.54----2021
North Dakota$212.39--Not required2026
New Hampshire$148.76--Not required2026
New Jersey$121.50--Not required2026
New Mexico$315.88----2026
Nevada$140.45----2024
South Dakota$31.87*----2026
Virginia$266.25----2025
Vermont$163.43----2023

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

All 26 codes from H0001 to H0050 or every behavioral health code by number.

Frequently asked questions

How much does Medicaid pay for H0015?

22 state Medicaid programs publish a fee-for-service rate for H0015 (alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education), ranging from $31.87 in South Dakota to $442.48 in Indiana. The full table on this page lists every publishing state's current rate.

Which state pays the most for H0015?

Indiana publishes the highest Medicaid rate for H0015 at $442.48. South Dakota publishes the lowest at $31.87.

Does H0015 require prior authorization under Medicaid?

2 of the 22 publishing states flag H0015 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".