Idaho Behavioral Health Reimbursement Rates
Idaho behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$160.32
Medicaid 90837
$117.03
Commercial (est.)
$100.00–$135.00
Key CPT Code Rates — Idaho
CPT 90791
Diagnostic Evaluation
Medicare: $166.42
Medicaid: $121.48
CPT 90832
Psychotherapy, 30 min
Medicare: $82.41
Medicaid: $60.16
CPT 90834
Psychotherapy, 45 min
Medicare: $109.34
Medicaid: $79.82
CPT 90837
Psychotherapy, 60 min
Medicare: $160.32
Medicaid: $117.03
Medicaid in Idaho
Idaho Medicaid uses a managed care model. Published estimates approximate 73% 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: Idaho Medicaid fee schedule (effective 2026-01-01).
Explore Idaho Rates
Use the interactive explorer below — pre-loaded for Idaho.