Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0018. 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
$29/mo after the trial. Cancel anytime.
Publishing states
17
Median % of Medicare
--
Rate range
$66.06 - $714.58
H0018 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $572.00* | -- | -- | 2026 |
| Arizona | $261.67 | -- | -- | 2026 |
| District of Columbia | $124.40 | -- | Not required | 2004 |
| Massachusetts | $254.76 | -- | -- | 2026 |
| Maine | $714.58 | -- | -- | 2026 |
| Minnesota | $591.24 | -- | Conditional | 2026 |
| Missouri | $273.42 | -- | Not required | 2026 |
| Mississippi | $584.35 | -- | -- | 2026 |
| New Hampshire | $294.49 | -- | Not required | 2026 |
| New Jersey | $66.06 | -- | Required | 2026 |
| New Mexico | $349.76 | -- | -- | 2026 |
| Nevada | $259.00 | -- | -- | 2024 |
| Utah | $193.86* | -- | Required | 2026 |
| Virginia | $657.96 | -- | -- | 2020 |
| Vermont | $180.00 | -- | -- | 2003 |
| Washington | $189.54* | -- | -- | 2026 |
| Wyoming | $121.10* | -- | -- | 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 H0018?
17 state Medicaid programs publish a fee-for-service rate for H0018 (behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem), ranging from $66.06 in New Jersey to $714.58 in Maine. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0018?
Maine publishes the highest Medicaid rate for H0018 at $714.58. New Jersey publishes the lowest at $66.06.
Does H0018 require prior authorization under Medicaid?
3 of the 17 publishing states flag H0018 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".