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Indiana Behavioral Health Reimbursement Rates

Indiana behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.

Medicare 90837

$160.32

Medicaid 90837

$121.84

Commercial (est.)

$100.00$135.00

Key CPT Code Rates — Indiana

CPT 90791

Diagnostic Evaluation

Medicare: $166.42

Medicaid: $126.48

CPT 90832

Psychotherapy, 30 min

Medicare: $82.41

Medicaid: $62.63

CPT 90834

Psychotherapy, 45 min

Medicare: $109.34

Medicaid: $83.10

CPT 90837

Psychotherapy, 60 min

Medicare: $160.32

Medicaid: $121.84

Medicaid in Indiana

Indiana Medicaid uses a managed care model. Published estimates approximate 76% 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: Indiana Medicaid fee schedule (effective 2026-01-01).

Explore Indiana Rates

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