Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0031. 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
27
Median % of Medicare
--
Rate range
$10.00 - $951.27
H0031 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $220.01 | -- | -- | 2026 |
| California | $163.08 | -- | -- | 2026 |
| Connecticut | $116.20 | -- | Required | 2026 |
| District of Columbia | $311.79* | -- | Required | 2026 |
| Iowa | $81.32 | -- | -- | 2024 |
| Indiana | $300.30 | -- | Required | 2026 |
| Kansas | $135.00 | -- | -- | 2007 |
| Kentucky | $28.70 | -- | -- | 2026 |
| Louisiana | $10.00 | -- | -- | 2026 |
| Michigan | $38.40 | -- | -- | 2026 |
| Minnesota | $82.44 | -- | Conditional | 2019 |
| Missouri | $951.27 | -- | Not required | 2022 |
| Mississippi | $128.19 | -- | -- | 2026 |
| North Carolina | $19.22 | -- | -- | 2025 |
| North Dakota | $156.97 | -- | Not required | 2026 |
| New Jersey | $80.72 | -- | Required | 2026 |
| New Mexico | $130.00 | -- | -- | 2026 |
| Nevada | $182.59 | -- | -- | 2024 |
| Ohio | $48.50 | -- | -- | 2026 |
| Pennsylvania | $26.25* | -- | -- | 2023 |
| South Carolina | $81.14* | -- | -- | 2026 |
| Texas | $28.91* | -- | -- | 2026 |
| Utah | $43.72* | -- | Not required | 2026 |
| Virginia | $74.25* | -- | -- | 2024 |
| Washington | $191.11* | -- | -- | 2026 |
| Wisconsin | $38.10 | -- | -- | 2025 |
| Wyoming | $123.41 | -- | -- | 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 H0031?
27 state Medicaid programs publish a fee-for-service rate for H0031 (mental health assessment, by non-physician), ranging from $10.00 in Louisiana to $951.27 in Missouri. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0031?
Missouri publishes the highest Medicaid rate for H0031 at $951.27. Louisiana publishes the lowest at $10.00.
Does H0031 require prior authorization under Medicaid?
5 of the 27 publishing states flag H0031 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".