West Virginia Behavioral Health Reimbursement Rates
West Virginia behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$155.31
Medicaid 90837
$93.19
Commercial (est.)
$100.00–$135.00
Key CPT Code Rates — West Virginia
CPT 90791
Diagnostic Evaluation
Medicare: $161.22
Medicaid: $96.73
CPT 90832
Psychotherapy, 30 min
Medicare: $79.83
Medicaid: $47.90
CPT 90834
Psychotherapy, 45 min
Medicare: $105.93
Medicaid: $63.56
CPT 90837
Psychotherapy, 60 min
Medicare: $155.31
Medicaid: $93.19
Medicaid in West Virginia
West Virginia Medicaid uses a managed care model. Published estimates approximate 60% of Medicare for key outpatient behavioral health CPT codes — actual fee schedule dollars vary by code and provider type. West Virginia Medicaid psychotherapy rates are below national averages.
Master's-level clinicians typically receive 75–80% of psychologist rates for identical psychotherapy CPT codes under most state Medicaid fee schedules.
Source: West Virginia Medicaid fee schedule (effective 2026-01-01).
Explore West Virginia Rates
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