H0046 Medicaid Rate by State

Mental health services, not otherwise specified

11 state Medicaid programs publish a fee-for-service rate for H0046 (mental health services, not otherwise specified), ranging from $0.45 in Minnesota to $112.62 in Virginia.

Every state, kept current

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This page shows one representative rate per state for H0046. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

11

Median % of Medicare

--

Rate range

$0.45 - $112.62

H0046 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Connecticut$29.05--Required2026
District of Columbia$35.74*--Not required2025
Iowa$18.00----2018
Massachusetts$22.95*----2025
Maryland$66.89----2026
Minnesota$0.45----2024
New Hampshire$27.38*--Not required2026
Virginia$112.62----2024
Washington$34.22*----2026
Wisconsin$27.43----2022
Wyoming$26.02----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

All 26 codes from H0001 to H0050 or every behavioral health code by number.

Frequently asked questions

How much does Medicaid pay for H0046?

11 state Medicaid programs publish a fee-for-service rate for H0046 (mental health services, not otherwise specified), ranging from $0.45 in Minnesota to $112.62 in Virginia. The full table on this page lists every publishing state's current rate.

Which state pays the most for H0046?

Virginia publishes the highest Medicaid rate for H0046 at $112.62. Minnesota publishes the lowest at $0.45.

Does H0046 require prior authorization under Medicaid?

1 of the 11 publishing states flag H0046 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".