Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H2021. 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
$4.94 - $862.84
H2021 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $24.63 | -- | -- | 2026 |
| California | $28.38 | -- | -- | 2026 |
| District of Columbia | $14.39* | -- | Required | 2009 |
| Indiana | $28.75* | -- | Required | 2012 |
| Maine | $862.84* | -- | -- | 2026 |
| North Dakota | $11.84 | -- | Not required | 2026 |
| New Hampshire | $16.93 | -- | Required | 2026 |
| New Jersey | $9.77 | -- | Required | 2026 |
| New Mexico | $12.22* | -- | -- | 2026 |
| Pennsylvania | $9.16 | -- | -- | 2023 |
| Utah | $4.94* | -- | Not required | 2018 |
| Virginia | $14.85 | -- | -- | 2011 |
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 11 codes from H2000 to H2036 or every behavioral health code by number.
Frequently asked questions
How much does Medicaid pay for H2021?
12 state Medicaid programs publish a fee-for-service rate for H2021 (community-based wrap-around services, per 15 minutes), ranging from $4.94 in Utah to $862.84 in Maine. The full table on this page lists every publishing state's current rate.
Which state pays the most for H2021?
Maine publishes the highest Medicaid rate for H2021 at $862.84. Utah publishes the lowest at $4.94.
Does H2021 require prior authorization under Medicaid?
4 of the 12 publishing states flag H2021 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".