Fee schedule change for non-physician Medicaid behavioral health services, effective Oct. 1, 2025

We will soon update our standard Medicaid reimbursement for all non-physician behavioral health providers (i.e., LP, LMSW, LPC, LLP, LMFT).

Effective Oct. 1, 2025, these payments will align with industry standards and be based on MDHHS’ Non-Physician Behavioral Health Fee Schedule, rather than the Practitioner/Medical Clinic Fee Schedule currently used.

Note: this change doesn’t impact medical providers (MD, DO, NP, PA).

Where you can find the fee schedule

The fee schedule is available online via MDHHS. Note: it is subject to change by MDHHS.

To access the current fee schedule:

  1. Go to the Behavioral Health/Substance Abuse billing and reimbursement page on the MDHHS website.
  2. Under the Non-Physician Behavioral Health heading, click the Choose an option dropdown menu and select the most recent fee schedule.
  3. Click View Report to download the fee schedule.