Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H1000. 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
15
Median % of Medicare
--
Rate range
$6.77 - $197.98
H1000 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $197.98 | -- | -- | 2026 |
| District of Columbia | $21.60 | -- | Not required | 2016 |
| Florida | $52.00 | -- | -- | 2026 |
| Iowa | $33.64 | -- | -- | 2024 |
| Illinois | $14.21 | -- | -- | 2026 |
| Kansas | $18.00 | -- | -- | 2002 |
| Michigan | $94.49 | -- | -- | 2026 |
| Missouri | $8.56 | -- | Not required | 2019 |
| North Dakota | $97.27 | -- | Not required | 2026 |
| New Hampshire | $10.95 | -- | Not required | 2026 |
| New Jersey | $12.50 | -- | Not required | 2026 |
| Ohio | $12.10 | -- | -- | 2003 |
| Oklahoma | $28.10 | -- | -- | 2026 |
| Utah | $6.77* | -- | Not required | 2022 |
| Vermont | $25.00 | -- | -- | 2004 |
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 2 codes from H1000 to H1001 or every behavioral health code by number.
Frequently asked questions
How much does Medicaid pay for H1000?
15 state Medicaid programs publish a fee-for-service rate for H1000 (prenatal care, at-risk assessment), ranging from $6.77 in Utah to $197.98 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for H1000?
California publishes the highest Medicaid rate for H1000 at $197.98. Utah publishes the lowest at $6.77.
Does H1000 require prior authorization under Medicaid?
No publishing state flags H1000 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.