Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0035. 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
18
Median % of Medicare
--
Rate range
$14.00 - $750.00
H0035 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $214.05* | -- | -- | 2026 |
| Arizona | $302.06 | -- | -- | 2026 |
| Connecticut | $252.30 | -- | Required | 2026 |
| Indiana | $325.12 | -- | Required | 2026 |
| Kansas | $750.00 | -- | -- | 2025 |
| Kentucky | $203.03 | -- | -- | 2026 |
| Minnesota | $322.40 | -- | Conditional | 2019 |
| Mississippi | $130.85 | -- | -- | 2026 |
| North Dakota | $470.59 | -- | Not required | 2026 |
| New Hampshire | $135.23* | -- | Not required | 2026 |
| New Jersey | $19.89 | -- | Required | 2026 |
| Nevada | $500.00 | -- | -- | 2025 |
| Pennsylvania | $14.00* | -- | -- | 2022 |
| Rhode Island | $570.49 | -- | -- | 2026 |
| South Carolina | $214.58 | -- | -- | 2026 |
| Virginia | $500.00 | -- | -- | 2024 |
| Vermont | $337.75 | -- | -- | 2026 |
| Washington | $203.03* | -- | -- | 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 H0035?
18 state Medicaid programs publish a fee-for-service rate for H0035 (mental health partial hospitalization, treatment, less than 24 hours), ranging from $14.00 in Pennsylvania to $750.00 in Kansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0035?
Kansas publishes the highest Medicaid rate for H0035 at $750.00. Pennsylvania publishes the lowest at $14.00.
Does H0035 require prior authorization under Medicaid?
4 of the 18 publishing states flag H0035 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".