Kentucky Behavioral Health Reimbursement Rates
Kentucky behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$156.98
Medicaid 90837
$117.73
Commercial (est.)
$100.00–$135.00
Key CPT Code Rates — Kentucky
CPT 90791
Diagnostic Evaluation
Medicare: $162.95
Medicaid: $122.21
CPT 90832
Psychotherapy, 30 min
Medicare: $80.69
Medicaid: $60.52
CPT 90834
Psychotherapy, 45 min
Medicare: $107.07
Medicaid: $80.30
CPT 90837
Psychotherapy, 60 min
Medicare: $156.98
Medicaid: $117.73
Medicaid in Kentucky
Kentucky 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: Kentucky Medicaid fee schedule (effective 2026-01-01).
Explore Kentucky Rates
Use the interactive explorer below — pre-loaded for Kentucky.