Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0019. 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
14
Median % of Medicare
--
Rate range
$80.00 - $602.45
H0019 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $500.00* | -- | -- | 2026 |
| Colorado | $136.10 | -- | -- | 2026 |
| District of Columbia | $80.00 | -- | Not required | 2016 |
| Iowa | $94.26 | -- | -- | 2024 |
| Indiana | $133.09 | -- | Required | 2026 |
| Massachusetts | $196.24 | -- | -- | 2026 |
| Maine | $489.00 | -- | -- | 2026 |
| New Mexico | $249.04 | -- | -- | 2026 |
| Nevada | $341.94 | -- | -- | 2024 |
| South Dakota | $303.45 | -- | -- | 2026 |
| Virginia | $602.45 | -- | -- | 2024 |
| Vermont | $204.68 | -- | -- | 2025 |
| Washington | $321.30* | -- | -- | 2026 |
| Wyoming | $99.94* | -- | -- | 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 H0019?
14 state Medicaid programs publish a fee-for-service rate for H0019 (behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem), ranging from $80.00 in District of Columbia to $602.45 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0019?
Virginia publishes the highest Medicaid rate for H0019 at $602.45. District of Columbia publishes the lowest at $80.00.
Does H0019 require prior authorization under Medicaid?
1 of the 14 publishing states flag H0019 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".