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Montana Behavioral Health Reimbursement Rates

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

Medicare 90837

$161.99

Medicaid 90837

$132.83

Commercial (est.)

$100.00$135.00

Key CPT Code Rates — Montana

CPT 90791

Diagnostic Evaluation

Medicare: $168.15

Medicaid: $137.88

CPT 90832

Psychotherapy, 30 min

Medicare: $83.26

Medicaid: $68.28

CPT 90834

Psychotherapy, 45 min

Medicare: $110.48

Medicaid: $90.60

CPT 90837

Psychotherapy, 60 min

Medicare: $161.99

Medicaid: $132.83

Medicaid in Montana

Montana Medicaid uses a managed care model. Published estimates approximate 82% 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: Montana Medicaid fee schedule (effective 2026-01-01).

Explore Montana Rates

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