Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H0047. 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
12
Median % of Medicare
--
Rate range
$4.80 - $306.55
H0047 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| District of Columbia | $22.50* | -- | Varies | 2004 |
| Illinois | $306.55 | -- | -- | 2026 |
| Kentucky | $124.86 | -- | -- | 2026 |
| Maryland | $85.31 | -- | -- | 2026 |
| Minnesota | $27.19 | -- | Required | 2025 |
| Missouri | $32.34 | -- | Not required | 2022 |
| New Hampshire | $46.19* | -- | Not required | 2026 |
| Nevada | $57.78 | -- | -- | 2024 |
| South Dakota | $42.52 | -- | -- | 2026 |
| Texas | $25.39* | -- | -- | 2013 |
| Virginia | $4.80 | -- | -- | 2008 |
| Wisconsin | $25.22 | -- | -- | 2022 |
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 H0047?
12 state Medicaid programs publish a fee-for-service rate for H0047 (alcohol and/or other drug abuse services, not otherwise specified), ranging from $4.80 in Virginia to $306.55 in Illinois. The full table on this page lists every publishing state's current rate.
Which state pays the most for H0047?
Illinois publishes the highest Medicaid rate for H0047 at $306.55. Virginia publishes the lowest at $4.80.
Does H0047 require prior authorization under Medicaid?
1 of the 12 publishing states flag H0047 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".