The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H2019. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
20
Median % of Medicare
--
Rate range
$3.87 - $114.38
H2019 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $22.52* | -- | -- | 2026 |
| Arizona | $5.42 | -- | -- | 2026 |
| California | $28.38 | -- | -- | 2026 |
| Colorado | $3.87 | -- | -- | 2026 |
| Connecticut | $34.18 | -- | Required | 2019 |
| Indiana | $22.50* | -- | Required | 2012 |
| Kentucky | $13.58* | -- | -- | 2026 |
| Maine | $112.43* | -- | -- | 2026 |
| Minnesota | $6.03 | -- | Conditional | 2008 |
| Missouri | $20.46 | -- | Not required | 2019 |
| Mississippi | $18.84* | -- | -- | 2026 |
| North Dakota | $21.97 | -- | Not required | 2026 |
| New Hampshire | $10.93* | -- | Varies | 2026 |
| New Mexico | $112.89 | -- | -- | 2026 |
| Nevada | $23.35* | -- | -- | 2025 |
| Utah | $28.93* | -- | Not required | 2026 |
| Virginia | $114.38 | -- | -- | 2021 |
| Vermont | $21.94 | -- | -- | 2004 |
| Washington | $36.35* | -- | -- | 2026 |
| Wyoming | $24.86 | -- | -- | 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
- 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
- 90838 - Psychotherapy, 60 minutes, added to an E&M visit
Frequently asked questions
How much does Medicaid pay for H2019?
20 state Medicaid programs publish a fee-for-service rate for H2019 (therapeutic behavioral services, per 15 minutes), ranging from $3.87 in Colorado to $114.38 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for H2019?
Virginia publishes the highest Medicaid rate for H2019 at $114.38. Colorado publishes the lowest at $3.87.
Does H2019 require prior authorization under Medicaid?
3 of the 20 publishing states flag H2019 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".