Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0038. 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
29
Median % of Medicare
--
Rate range
$3.58 - $38.24
H0038 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $16.77* | -- | -- | 2026 |
| Arizona | $21.86 | -- | -- | 2026 |
| California | $28.38 | -- | -- | 2026 |
| Colorado | $7.83 | -- | -- | 2026 |
| Connecticut | $13.02 | -- | -- | 2021 |
| District of Columbia | $25.77* | -- | Varies | 2024 |
| Delaware | $20.86 | -- | -- | 2026 |
| Indiana | $12.65 | -- | -- | 2026 |
| Kansas | $16.02 | -- | -- | 2022 |
| Kentucky | $9.35* | -- | -- | 2026 |
| Louisiana | $12.91 | -- | -- | 2026 |
| Massachusetts | $28.91 | -- | -- | 2025 |
| Maryland | $18.77 | -- | -- | 2026 |
| Minnesota | $15.02 | -- | Conditional | 2015 |
| Missouri | $26.23 | -- | Not required | 2022 |
| Mississippi | $9.07 | -- | -- | 2026 |
| North Dakota | $11.84 | -- | Not required | 2026 |
| New Hampshire | $25.69 | -- | Not required | 2026 |
| New Mexico | $12.00 | -- | -- | 2026 |
| Nevada | $15.00 | -- | -- | 2025 |
| Pennsylvania | $10.00 | -- | -- | 2023 |
| South Dakota | $17.32 | -- | -- | 2026 |
| Texas | $8.55* | -- | -- | 2026 |
| Utah | $21.55* | -- | Not required | 2026 |
| Virginia | $38.24 | -- | -- | 2026 |
| Vermont | $15.09 | -- | -- | 2026 |
| Washington | $15.01* | -- | -- | 2026 |
| Wisconsin | $3.58* | -- | -- | 2026 |
| Wyoming | $10.26 | -- | -- | 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 H0038?
29 state Medicaid programs publish a fee-for-service rate for H0038 (self-help/peer services, per 15 minutes), ranging from $3.58 in Wisconsin to $38.24 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0038?
Virginia publishes the highest Medicaid rate for H0038 at $38.24. Wisconsin publishes the lowest at $3.58.
Does H0038 require prior authorization under Medicaid?
1 of the 29 publishing states flag H0038 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".