Maryland Behavioral Health Reimbursement Rates
Maryland behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$173.68
Medicaid 90837
$135.47
Commercial (est.)
$140.00–$170.00
Key CPT Code Rates — Maryland
CPT 90791
Diagnostic Evaluation
Medicare: $180.28
Medicaid: $140.62
CPT 90832
Psychotherapy, 30 min
Medicare: $89.27
Medicaid: $69.63
CPT 90834
Psychotherapy, 45 min
Medicare: $118.46
Medicaid: $92.40
CPT 90837
Psychotherapy, 60 min
Medicare: $173.68
Medicaid: $135.47
Medicaid in Maryland
Maryland Medicaid uses a managed care model. Published estimates approximate 78% 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: Maryland Medicaid fee schedule (effective 2026-01-01).
Explore Maryland Rates
Use the interactive explorer below — pre-loaded for Maryland.