Medicaid Reimbursement Rates

Approved Medicaid fee-for-service rates for all OMH programs.

American Rescue Plan Act – Rate Increase Summary - File Updated 3/20/24
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 2/10/25

Certified Community Behavioral Health Clinics (CCBHC) - File updated 4/23/25

Children and Family Treatment and Support Services (CFTSS)

• Other Licensed Practitioner (OLP)
• Community Psychiatric Support and Treatment (CPST), Psychosocial Rehabilitation (PSR), Family Peer Support Services (FPSS), Youth Peer Support and Training (YPS), and Crisis Intervention (CI)

Children's Home and Community Based Services (HCBS)

• HCBS Rate Summary

Mental Health Outpatient Treatment and Rehabilitative Services

• APG Peer Group Base Rates - File updated 12/31/24
• APG Peer Group Base Rates - Provider-Specific - File updated 1/08/25
• MHOTRS Rates Codes

Collaborative Care - Statewide Rate - File updated 6/28/24

Continuing Day Treatment (CDT) - Adult - Regional Rates - File updated 11/06/24

Community Residence - Adult - Provider-Specific Rates - File updated 1/08/25

Community Residence - Children - Provider-Specific Rates - File updated 1/1/25

Community Residence – Eating Disorder Integrated Treatment - Regional Rates – File updated 2/10/25

Comprehensive Psychiatric Emergency Program (CPEP) - Statewide Rates - File updated 10/24/24

Coordinated Specialty Care (CSC) - 6/12/24

Crisis Services: Mobile & Telephonic – Regional Rates - File updated 9/25/24

Crisis Services: Residential – Regional Rates - File updated 9/25/24

Crisis Services: Stabilization – Regional Rates - File updated 9/25/24

Critical Time Intervention – Regional Rates - File posted 1/1/25

Day Treatment Services for Children - Regional Rates - File updated 11/06/24

Federally Qualified Health Center (FQHC) - Provider-Specific Rates

Partial Hospitalization - Regional Rates - File updated 11/06/24

Personalized Recovery Oriented Services (PROS) - Regional Rates - Updated 1/15/25

Private Psychiatric Hospitals - Rates - Updated 9/19/24

State Operated Community Residence - Updated 7/16/24

State Operated Inpatient Psychiatric Hospital - Updated 6/17/24

Reimbursement Rates only available through Medicaid Managed Care Organizations (MMCOs)

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 6/12/24
• CORE Fee Schedule - Updated 6/12/24

 

Comments or questions about the information on this page can be directed to Adult MHOTRS or Children’s MHOTRS.