Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H2036. 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
$14.20 - $637.20
H2036 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $193.04* | -- | -- | 2026 |
| Delaware | $259.95 | -- | -- | 2026 |
| Illinois | $519.97 | -- | -- | 2026 |
| Kentucky | $408.24 | -- | -- | 2026 |
| Maryland | $201.99 | -- | -- | 2026 |
| Maine | $160.07 | -- | -- | 2026 |
| Missouri | $471.95 | -- | Not required | 2022 |
| North Dakota | $637.20 | -- | Not required | 2026 |
| New Hampshire | $317.64* | -- | Not required | 2026 |
| South Dakota | $187.72 | -- | -- | 2026 |
| Utah | $241.43* | -- | Required | 2026 |
| Washington | $14.20* | -- | -- | 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
- 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 H2036?
12 state Medicaid programs publish a fee-for-service rate for H2036 (alcohol and/or other drug treatment program, per diem), ranging from $14.20 in Washington to $637.20 in North Dakota. The full table on this page lists every publishing state's current rate.
Which state pays the most for H2036?
North Dakota publishes the highest Medicaid rate for H2036 at $637.20. Washington publishes the lowest at $14.20.
Does H2036 require prior authorization under Medicaid?
1 of the 12 publishing states flag H2036 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".