Delaware Behavioral Health Reimbursement Rates
Delaware behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$167.00
Medicaid 90837
$125.25
Commercial (est.)
$140.00–$170.00
Key CPT Code Rates — Delaware
CPT 90791
Diagnostic Evaluation
Medicare: $173.35
Medicaid: $130.01
CPT 90832
Psychotherapy, 30 min
Medicare: $85.84
Medicaid: $64.38
CPT 90834
Psychotherapy, 45 min
Medicare: $113.90
Medicaid: $85.43
CPT 90837
Psychotherapy, 60 min
Medicare: $167.00
Medicaid: $125.25
Medicaid in Delaware
Delaware Medicaid uses a managed care model. Published estimates approximate 75% of Medicare for key outpatient behavioral health CPT codes — actual fee schedule dollars vary by code and provider type.
Master's-level clinicians typically receive 75–80% of psychologist rates for identical psychotherapy CPT codes under most state Medicaid fee schedules.
Source: Delaware Medicaid fee schedule (effective 2026-01-01).
Explore Delaware Rates
Use the interactive explorer below — pre-loaded for Delaware.