Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0043. 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
$29/mo after the trial. Cancel anytime.
Publishing states
10
Median % of Medicare
--
Rate range
$25.59 - $541.45
H0043 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $25.59* | -- | -- | 2026 |
| District of Columbia | $101.14 | -- | Not required | 2025 |
| Massachusetts | $255.44 | -- | -- | 2025 |
| Minnesota | $197.26 | -- | Required | 2017 |
| Mississippi | $193.14* | -- | -- | 2026 |
| New Hampshire | $62.72* | -- | Required | 2024 |
| South Dakota | $30.00 | -- | -- | 2026 |
| Utah | $46.77* | -- | Not required | 2016 |
| Virginia | $541.45 | -- | -- | 2026 |
| Wyoming | $32.15 | -- | -- | 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 H0043?
10 state Medicaid programs publish a fee-for-service rate for H0043 (supported housing, per diem), ranging from $25.59 in Arkansas to $541.45 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0043?
Virginia publishes the highest Medicaid rate for H0043 at $541.45. Arkansas publishes the lowest at $25.59.
Does H0043 require prior authorization under Medicaid?
2 of the 10 publishing states flag H0043 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".