Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0036. 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
13
Median % of Medicare
--
Rate range
$3.67 - $54.66
H0036 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $8.12 | -- | -- | 2026 |
| District of Columbia | $25.77 | -- | Varies | 2025 |
| Kansas | $27.50 | -- | -- | 2004 |
| Louisiana | $21.43 | -- | -- | 2026 |
| Missouri | $31.98 | -- | Not required | 2022 |
| Mississippi | $26.00* | -- | -- | 2026 |
| North Carolina | $3.67 | -- | -- | 2025 |
| New Jersey | $18.44 | -- | Required | 2026 |
| Pennsylvania | $23.50* | -- | -- | 2026 |
| South Dakota | $16.61 | -- | -- | 2026 |
| Virginia | $54.66 | -- | -- | 2024 |
| Vermont | $21.12 | -- | Required | 2026 |
| Washington | $8.72* | -- | -- | 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 H0036?
13 state Medicaid programs publish a fee-for-service rate for H0036 (community psychiatric supportive treatment, face-to-face, per 15 minutes), ranging from $3.67 in North Carolina to $54.66 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0036?
Virginia publishes the highest Medicaid rate for H0036 at $54.66. North Carolina publishes the lowest at $3.67.
Does H0036 require prior authorization under Medicaid?
2 of the 13 publishing states flag H0036 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".