Medicaid Reimbursement Rates
Approved Medicaid fee-for-service rates for all OMH programs.
American Rescue Plan Act – Rate Increase Summary
Home and Community Based Services (HCBS) rate adjustments due to the COVID-19 Emergency as part of the American Rescue Plan Act of 2021 (ARPA), Section 9817
Assertive Community Treatment (ACT) - Regional Rate - File updated 10/5/2022
Certified Community Behavioral Health Clinics (CCBHC) - File updated 10/25/2019
Children and Family Treatment and Support Services (CFTSS)
- Other Licensed Practitioner (OLP), Community Psychiatric Support and Treatment (CPST), and Psychosocial Rehabilitation (PSR)
- Family Peer Support Services (FPSS) and Youth Peer Support and Training (YPST)
- Crisis Intervention
Children's Home and Community Based Services (HCBS)
Mental Health Outpatient Treatment and Rehabilitative Services
- APG Peer Group Base Rates - File updated 10/04/22
- APG Peer Group Base Rates - Provider-Specific - File updated 11/15/22
- APG Payment Modifiers
- MHOTRS Rates Codes
Collaborative Care - Statewide Rate - File updated 10/27/2022
Continuing Day Treatment (CDT) - Adult - Regional Rates - File updated 8/8/2022
Community Residence - Adult - Provider-Specific Rates - File updated 10/3/2022
Community Residence - Children - Provider-Specific Rates - File updated 10/3/2022
Children’s Case Management - Regional Rates
Comprehensive Psychiatric Emergency Program (CPEP) - Statewide Rates - File updated 9/26/22
Crisis Services: Mobile & Telephonic – Regional Rates - File updated 5/9/2022
Crisis Services: Residential – Regional Rates - File updated 5/9/2022
Crisis Services: Stabilization – Regional Rates - File updated 10/5/2022
Day Treatment Services for Children - Regional Rates - File updated 8/8/2022
Federally Qualified Health Center (FQHC) - Provider-Specific Rates
Intensive Psychiatric Rehabilitation Treatment (IPRT) - Statewide Rates - New rates effective 4/1/2015 to reflect 2% COLA increase
Partial Hospitalization - Regional Rates - File updated 8/8/2022
Personalized Recovery Oriented Services (PROS) - Regional Rates - Updated 10/5/2022
Private Psychiatric Hospitals - Rates - Updated 3/4/2022
State Operated Community Residence - Updated 4/28/22
State Operated Inpatient Psychiatric Hospital - Updated 8/24/22
Reimbursement Rates only available through Medicaid Managed Care Organizations (MMCOs)
Mobile/Telephonic Crisis Intervention - 5/5/2022
Rate codes are only available through Medicaid Managed Care Organizations (MMCOs) to individuals 21 and older.
Crisis Intervention - Residential - 5/5/2022
Rate codes are only available through Medicaid Managed Care Organizations (MMCOs) to individuals 21 and older.
Health and Recovery Plans (HARP) Behavioral Health Home and Community Based Services (BH HCBS) Fee Schedule – Codes that HARP plans and HIV-SNPs will be using to bill Medicaid for HCBS services that are provided to HARP enrollees (or HIV-SNP enrolled HARP-eligible).
Temporary service rate increases, effective 10/1/21, are part of Section 9817 of the American Rescue Plan Act of 2021 (ARPA).
- HARP BH HCBS Fee Schedule - Updated 8/8/2022
- CORE Fee Schedule - Updated 8/8/2022
Comments or questions about the information on this page can be directed to Adult MHOTRS or Children’s MHOTRS.