Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0020. 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
26
Median % of Medicare
--
Rate range
$3.64 - $191.99
H0020 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $5.00* | -- | -- | 2026 |
| Arizona | $6.80 | -- | -- | 2026 |
| Colorado | $16.55 | -- | -- | 2026 |
| District of Columbia | $9.43 | -- | Not required | 2025 |
| Delaware | $12.00 | -- | -- | 2026 |
| Illinois | $119.98 | -- | -- | 2026 |
| Kentucky | $114.00 | -- | -- | 2026 |
| Massachusetts | $11.26 | -- | -- | 2026 |
| Maryland | $95.97* | -- | -- | 2026 |
| Maine | $191.99 | -- | -- | 2026 |
| Minnesota | $16.07 | -- | Required | 2025 |
| Missouri | $15.50 | -- | Not required | 2022 |
| North Dakota | $3.64 | -- | Not required | 2026 |
| New Hampshire | $11.20 | -- | Not required | 2026 |
| New Jersey | $4.25 | -- | Not required | 2026 |
| New Mexico | $21.11 | -- | -- | 2026 |
| Nevada | $3.94 | -- | -- | 2024 |
| Ohio | $18.47* | -- | -- | 2024 |
| Pennsylvania | $7.50* | -- | -- | 2025 |
| South Dakota | $16.61 | -- | -- | 2026 |
| Texas | $9.84* | -- | -- | 2023 |
| Utah | $9.33* | -- | Not required | 2026 |
| Virginia | $8.00 | -- | -- | 2022 |
| Vermont | $105.00 | -- | -- | 2020 |
| Washington | $19.29* | -- | -- | 2026 |
| Wisconsin | $12.80 | -- | -- | 2022 |
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 H0020?
26 state Medicaid programs publish a fee-for-service rate for H0020 (alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)), ranging from $3.64 in North Dakota to $191.99 in Maine. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0020?
Maine publishes the highest Medicaid rate for H0020 at $191.99. North Dakota publishes the lowest at $3.64.
Does H0020 require prior authorization under Medicaid?
1 of the 26 publishing states flag H0020 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".