Maine Behavioral Health Reimbursement Rates
Maine behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$161.99
Medicaid 90837
$129.59
Commercial (est.)
$100.00–$135.00
Key CPT Code Rates — Maine
CPT 90791
Diagnostic Evaluation
Medicare: $168.15
Medicaid: $134.52
CPT 90832
Psychotherapy, 30 min
Medicare: $83.26
Medicaid: $66.61
CPT 90834
Psychotherapy, 45 min
Medicare: $110.48
Medicaid: $88.39
CPT 90837
Psychotherapy, 60 min
Medicare: $161.99
Medicaid: $129.59
Medicaid in Maine
Maine Medicaid uses a managed care model. Published estimates approximate 80% 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: Maine Medicaid fee schedule (effective 2026-01-01).
Explore Maine Rates
Use the interactive explorer below — pre-loaded for Maine.