Vermont Behavioral Health Reimbursement Rates
Vermont behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$165.33
Medicaid 90837
$135.57
Commercial (est.)
$140.00–$170.00
Key CPT Code Rates — Vermont
CPT 90791
Diagnostic Evaluation
Medicare: $171.62
Medicaid: $140.73
CPT 90832
Psychotherapy, 30 min
Medicare: $84.98
Medicaid: $69.68
CPT 90834
Psychotherapy, 45 min
Medicare: $112.76
Medicaid: $92.46
CPT 90837
Psychotherapy, 60 min
Medicare: $165.33
Medicaid: $135.57
Medicaid in Vermont
Vermont 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: Vermont Medicaid fee schedule (effective 2026-01-01).
Explore Vermont Rates
Use the interactive explorer below — pre-loaded for Vermont.