Ohio Behavioral Health Reimbursement Rates
Ohio behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$160.32
Medicaid 90837
$120.24
Commercial (est.)
$100.00–$135.00
Key CPT Code Rates — Ohio
CPT 90791
Diagnostic Evaluation
Medicare: $166.42
Medicaid: $124.81
CPT 90832
Psychotherapy, 30 min
Medicare: $82.41
Medicaid: $61.80
CPT 90834
Psychotherapy, 45 min
Medicare: $109.34
Medicaid: $82.01
CPT 90837
Psychotherapy, 60 min
Medicare: $160.32
Medicaid: $120.24
Medicaid in Ohio
Ohio 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: Ohio Medicaid fee schedule (effective 2026-01-01).
Explore Ohio Rates
Use the interactive explorer below — pre-loaded for Ohio.