Medicaid Benefits: Psychologist Services
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
2018
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limits on Services | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 39 No - 4 NR - 8 | 2018 data limited to CN | Yes - 15 | Yes - 18 | Included in "Limits on Services" for 2018 | Not included in 2018 survey |
| Alabama | No | - | - | |||
| Alaska | Yes | CN | $3 | Must be prior authorized | - | - |
| Arizona | Yes | CN | No | No | - | - |
| Arkansas | NR | NR | NR | NR | - | - |
| California | Yes | CN | $1 per outpatient visit | No | - | - |
| Colorado | Yes | CN | No | No | - | - |
| Connecticut | Yes | CN | No | One diagnostic interview per year; two staff consultations per year | - | - |
| Delaware | Yes | CN | No | No | - | - |
| District of Columbia | No | - | - | |||
| Florida | Yes | CN | $2 copayment is required | One in-depth assessment per year, per recipient; 10 hours of testing per year, per recipient; 26 hours of individual and family therapy per year, per recipient; and 39 hours of group therapy per year, per recipient. | - | - |
| Georgia | Yes | CN | $2 copay | Over 24 hours per year must be prior authorized. | - | - |
| Hawaii | Yes | CN | No | No | - | - |
| Idaho | Yes | CN | No | No | - | - |
| Illinois | NR | NR | NR | NR | - | - |
| Indiana | Yes | CN | No | Prior authorization for specified services including psychological testing. 20 service/time units/year. | - | - |
| Iowa | NR | NR | NR | NR | - | - |
| Kansas | Yes | CN | $3.00 per visit | No | - | - |
| Kentucky | Yes | CN | $3 | No consultation or educational services | - | - |
| Louisiana | Yes | CN | No | NR | - | - |
| Maine | Yes | CN | $.50 to $2/day depending on payment amount, up to $20/month | Limited to 2 hours/week for non-emergency counseling | - | - |
| Maryland | Yes | CN | No | No | - | - |
| Massachusetts | Yes | CN | No | No | - | - |
| Michigan | Yes | CN | No | No | - | - |
| Minnesota | Yes | CN | No | No | - | - |
| Mississippi | Yes | CN | No | Some services require prior authorization | - | - |
| Missouri | Yes | CN | $2 | No | - | - |
| Montana | Yes | CN | Income at or below 100% FPL - $4 per visit; above FPL - 10% of payment amount | No | - | - |
| Nebraska | Yes | CN | $2 per visit copay for individual, group, and family therapy sessions | No | - | - |
| Nevada | NR | NR | NR | NR | - | - |
| New Hampshire | NR | NR | NR | NR | - | - |
| New Jersey | Yes | CN | No | No | - | - |
| New Mexico | Yes | CN | No | No | - | - |
| New York | NR | NR | NR | NR | - | - |
| North Carolina | Yes | CN | No | PA is required for Adults after 8 visits and children after 16 visits. | - | - |
| North Dakota | Yes | CN | $2 per visit | 1 psychological evaluation per year 4 hours psychological testing per year 40 psychotherapy visits per year | - | - |
| Ohio | Yes | CN | No | 25 visit limitation for psychologist service per benefit year. PA required for any visits after 25. | - | - |
| Oklahoma | Yes | CN | $4 per visit | Services are subject to the existing visit limitation of 4 visits per month. | - | - |
| Oregon | Yes | CN | No | All coverage is based upon the prioritized list of health services. | - | - |
| Pennsylvania | No | - | - | |||
| Rhode Island | No | - | - | |||
| South Carolina | NR | NR | NR | NR | - | - |
| South Dakota | Yes | CN | $3/visit | 40 hours therapy/year of all types in combination with other providers | - | - |
| Tennessee | Yes | CN | No | No | - | - |
| Texas | Yes | CN | No | Frequency and quantity limits vary by service | - | - |
| Utah | Yes | CN | $4 per visit | No | - | - |
| Vermont | Yes | CN | No | Prior authorization required. | - | - |
| Virginia | NR | NR | NR | NR | - | - |
| Washington | Yes | CN | No | some may require PA | - | - |
| West Virginia | Yes | CN | No | No | - | - |
| Wisconsin | Yes | CN | $0.50 - $3, depending on the service. | NR | - | - |
| Wyoming | Yes | CN | No | Prior authorization is required after the first 20 visits to confirm ongoing medical necessity | - | - |
2012
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 38 No - 18 | Yes - 13 No - 25 | ||||
| Alabama | No | |||||
| Alaska | Yes | CN | Fee for service | |||
| American Samoa | Yes | See territory-specific FN | ||||
| Arizona | Yes | CN & MN | Fee for service | |||
| Arkansas | No | |||||
| California | Yes | CN & MN | $1/visit | Coverage limited to pregnant or institutionalized adults unless rendered in an FQHC or RHC, limited to 2 services per month in combination with services by selected other practitioners | Fee for service | |
| Colorado | Yes | CN | $2/visit, $.50/15 minute psych service | Fee for service | ||
| Connecticut | No | |||||
| Delaware | Yes | CN | 20 outpatient visits/year included in limit with other mental health providers | Fee for Service | ||
| District of Columbia | No | |||||
| Florida | No | |||||
| Georgia | No | |||||
| Guam | Yes | CN | 20 service sessions/year | Fee for service using Medicare fee schedule | ||
| Hawaii | Yes | CN & MN | Psychological testing in non-institutionalized setting | Fee for service | ||
| Idaho | No | |||||
| Illinois | No | |||||
| Indiana | Yes | CN | 20 service/time units/year | Specified services including psychological testing | Fee for service | |
| Iowa | Yes | CN & MN | $2/day | Individual therapy 1 hour/week up to 40 hours/year, group therapy 1.5 hours/week up to 60 hours/year, combined therapy limited to cost of 40 hours individual therapy, therapy without specification of condition, symptom or complaint not covered | Specified services | Fee for service |
| Kansas | Yes | CN & MN | $3/office visit | Fee for service unless included in behavioral health managed care contract | ||
| Kentucky | No | |||||
| Louisiana | No | |||||
| Maine | Yes | CN & MN | $.50-$2/day, depending on payment, up to $20/month | 2 hours/week for non-emergency outpatient counseling | Fee for service | |
| Maryland | Yes | CN & MN | Service and visit limits vary based on medical need | Yes | Fee for service | |
| Massachusetts | Yes | CN & MN | Limited to psychological testing and 1 testing session/6 months | Fee for service | ||
| Michigan | No | |||||
| Minnesota | Yes | A & B - See state-specific FN | Fee for service | |||
| Mississippi | No | |||||
| Missouri | Yes | CN | $2/day | Yes | Fee for service | |
| Montana | Yes | A & B - See state-specific FN | $1/visit | 24 individual and family therapy sessions/year, group therapy not included in limit | Fee for service | |
| Nebraska | Yes | CN & MN | Fee for service | |||
| Nevada | Yes | CN | Scope of coverage based on intensity of need | Yes | Fee for service | |
| New Hampshire | Yes | CN & MN | 18 psychotherapy visits/year | Fee for service | ||
| New Jersey | Yes | CN & MN | Psych services beyond $900/year, or $400/year for nursing facility residents | Fee for service | ||
| New Mexico | Yes | CN | A - $0-$7/visit depending on income, B - $7/visit - see state-specific FN | Specified services | Fee for service | |
| New York | Yes | CN & MN | Fee for service | |||
| North Carolina | Yes | CN & MN | $3/visit | 8 ambulatory visits | Fee for service or capitated rate | |
| North Dakota | Yes | CN & MN | $2/visit | 1 psychological evaluation/year, 4 hours psychological testing/year, 40 psychotherapy visits/year | Fee for service | |
| Northern Mariana Islands | No | |||||
| Ohio | Yes | CN | 25 dates of service/year in non-hospital setting, 8 hours/12 months of psychological testing, 1 diagnostic interview/year | Fee for service at 85% of physician fee | ||
| Oklahoma | No | |||||
| Oregon | No | |||||
| Pennsylvania | No | |||||
| Puerto Rico | Yes | CN & MN | Limited to services rendered by contracted staff | Service is included in the capitated rate paid to managed care plans | ||
| Rhode Island | No | |||||
| South Carolina | Yes | CN | Fee for service | |||
| South Dakota | Yes | CN | $3/visit | 40 hours therapy/year of all types in combination with other providers | Fee for service | |
| Tennessee | Yes | A, B & C - See state-specific FN | See state-specific FN | |||
| Texas | Yes | CN & MN | 30 visits/year | Prior to visit 25 in a year | Fee for service | |
| Utah | Yes | A & B - See state-specific FN | Services limited by type and by beneficiary age and condition | Fee for service | ||
| Vermont | Yes | A & B - See state-specific FN | Fee for service | |||
| U.S. Virgin Islands | No | |||||
| Virginia | Yes | CN & MN | 52 visits in year one and 26 visits in subsequent years in combination with other providers of mental health services | After initial 26 visits | Fee for service and capitated payment | |
| Washington | Yes | CN | 1 psychological evaluation/lifetime, 1 hour therapy/day up to 12 hours/year | Yes | Fee for service | |
| West Virginia | Yes | A, B & C | Yes | Fee for service | ||
| Wisconsin | Yes | CN & MN | $.50-$3, depending on service | Specified services | Fee for service | |
| Wyoming | Yes | CN | $2.45/therapy service | Fee for service |
2010
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 37 No - 19 | Yes - 13 No - 24 | ||||
| Alabama | Yes | CN | $1/visit | Specified set of procedures billable and only for diagnoses in 290-316 range, varying frequency limits | Fee for service | |
| Alaska | Yes | CN | Fee for service | |||
| American Samoa | No | |||||
| Arizona | Yes | CN & MN | Fee for service | |||
| Arkansas | No | |||||
| California | Yes | CN & MN | $1/visit | Coverage limited to pregnant or institutionalized adults unless rendered in an FQHC or RHC | Fee for service | |
| Colorado | Yes | CN | $2/visit, $.50/15 minute psych service | Fee for service | ||
| Connecticut | No | |||||
| Delaware | Yes | CN | 20 outpatient visits/year included in limit with other mental health providers | Fee for Service | ||
| District of Columbia | No | |||||
| Florida | No | |||||
| Georgia | No | |||||
| Guam | Yes | CN | 20 service sessions/year | Fee for service | ||
| Hawaii | Yes | CN & MN | Psychological testing in non-institutionalized setting | Fee for service | ||
| Idaho | No | |||||
| Illinois | No | |||||
| Indiana | Yes | CN | 20 service/time units/year | Specified services including psychological testing | Fee for service | |
| Iowa | Yes | CN & MN | $2/day | Fee for service | ||
| Kansas | Yes | CN & MN | $3/office visit | Fee for service unless included in behavioral health managed care contract | ||
| Kentucky | No | |||||
| Louisiana | No | |||||
| Maine | Yes | CN & MN | $.50-$2/day, depending on payment, up to $20/month | 2 hours/week for non-emergency outpatient counseling | Fee for service | |
| Maryland | Yes | CN & MN | Service and visit limits vary based on medical need | Yes | Fee for service | |
| Massachusetts | Yes | CN & MN | Limited to psychological testing and 1 testing session/6 months | Fee for service | ||
| Michigan | No | |||||
| Minnesota | Yes | A & B - See state-specific FN | Fee for service | |||
| Mississippi | No | |||||
| Missouri | Yes | CN | $2/day | Yes | Fee for service | |
| Montana | Yes | A & B - See state-specific FN | $1/visit | 16 service sessions/year for adults and 24 for children | Fee for service | |
| Nebraska | Yes | CN & MN | Fee for service | |||
| Nevada | Yes | CN | Scope of coverage based on intensity of need | Yes | Fee for service | |
| New Hampshire | Yes | CN & MN | 12 psychotherapy visits/year in combination with other practitioners | Fee for service | ||
| New Jersey | Yes | CN & MN | Psychotherapy services up to $900/year or $400/year for nursing facility residents | Fee for service | ||
| New Mexico | Yes | CN | A - $0-$7/visit depending on income, B - $7/visit - see state-specific FN | Specified services | Fee for service | |
| New York | Yes | CN & MN | Fee for service | |||
| North Carolina | Yes | CN & MN | Fee for service | |||
| North Dakota | Yes | CN & MN | $2/visit | 40 psychotherapy visits/year | Fee for service | |
| Northern Mariana Islands | No | |||||
| Ohio | Yes | CN | 25 dates of service/year in non-hospital setting, 8 hours/12 months of psychological testing, 1 diagnostic interview/year | Fee for service at 85% of physician fee | ||
| Oklahoma | No | |||||
| Oregon | No | |||||
| Pennsylvania | No | |||||
| Puerto Rico | Yes | CN & MN | Limited to services rendered by contracted staff | Service is included in the capitated rate paid to managed care plans | ||
| Rhode Island | No | |||||
| South Carolina | No | |||||
| South Dakota | Yes | CN | $3/visit | 40 hours therapy/year | Fee for service | |
| Tennessee | Yes | A & B - See state-specific FN | See state-specific FN | |||
| Texas | Yes | CN & MN | 30 visits/year | Prior to visit 25 in a year | Fee for service | |
| Utah | Yes | A & B - See state-specific FN | Services limited by type and by beneficiary age and condition | Fee for service | ||
| Vermont | Yes | A & B - See state-specific FN | Fee for service | |||
| U.S. Virgin Islands | No | |||||
| Virginia | Yes | CN & MN | 52 visits in year one and 26 visits in subsequent years | After initial 26 visits | Fee for service | |
| Washington | Yes | CN | 1 psychological evaluation/lifetime, 1 hour therapy/day up to 12 hours/year | Yes | Fee for service | |
| West Virginia | Yes | A, B & C | Yes | Fee for service | ||
| Wisconsin | Yes | CN & MN | $.50-$3, depending on service | Specified services | Fee for service | |
| Wyoming | Yes | CN | $2/therapy service | Fee for service |
2008
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 37 No - 19 | Yes - 13 No - 24 | ||||
| Alabama | Yes | CN | $1/visit | Specified set of procedures billable and only for diagnoses in 290-316 range, varying frequency limits | Fee for service | |
| Alaska | Yes | CN | Fee for service | |||
| American Samoa | No | |||||
| Arizona | Yes | CN & MN | Fee for service | |||
| Arkansas | No | |||||
| California | Yes | CN & MN | $1/visit | 2 service sessions/month included in limits with other specified providers in any setting | Fee for service | |
| Colorado | Yes | CN | $2/office visit, $.50/15 minute psych service | Fee for service | ||
| Connecticut | No | |||||
| Delaware | Yes | CN | 20 outpatient visits/year included in limit with other mental health providers | Fee for Service | ||
| District of Columbia | No | |||||
| Florida | No | |||||
| Georgia | No | |||||
| Guam | Yes | CN | 20 service sessions/year | Fee for service | ||
| Hawaii | Yes | CN & MN | 4 hours psychological testing/year with 2 additional hours for comprehensive testing | Psychological testing | Fee for service | |
| Idaho | No | |||||
| Illinois | No | |||||
| Indiana | Yes | CN | 20 service/time units/year | Specified services including psychological testing | Fee for service | |
| Iowa | Yes | CN & MN | $2/day | Fee for service | ||
| Kansas | Yes | CN & MN | $3/office visit | Fee for service unless included in behavioral health managed care contract | ||
| Kentucky | No | |||||
| Louisiana | No | |||||
| Maine | Yes | CN & MN | $.50-$2/day, depending on payment, up to $20/month | 16 one-hour visits/year for individual or group counseling | Fee for service | |
| Maryland | Yes | CN & MN | Service and visit limits vary based on medical need | Yes | Fee for service | |
| Massachusetts | Yes | CN & MN | Limited to psychological testing and 1 testing session/6 months | Fee for service | ||
| Michigan | No | |||||
| Minnesota | Yes | A & B - See state-specific FN | Fee for service | |||
| Mississippi | No | |||||
| Missouri | Yes | CN | $2/day | Yes | Fee for service | |
| Montana | Yes | A & B - See state-specific FN | $1/visit | 16 service sessions/year for adults and 24 for children | Fee for service | |
| Nebraska | Yes | CN & MN | Fee for service | |||
| Nevada | Yes | CN | Scope of coverage based on intensity of need | Yes | Fee for service | |
| New Hampshire | Yes | CN & MN | 12 visits/year, psychotherapy visits included in limits with other specified practitioners, must be by independent psychologist | Fee for service | ||
| New Jersey | Yes | CN & MN | Psychotherapy services up to $900/year or $400 for nursing facility residents | Fee for service | ||
| New Mexico | Yes | CN | A - $5/visit, B - $7/visit - see state-specific FN | Specified services | Fee for service | |
| New York | Yes | CN & MN | Fee for service | |||
| North Carolina | Yes | CN & MN | Fee for service | |||
| North Dakota | Yes | CN & MN | $2/visit | 40 psychotherapy visits/year | Fee for service | |
| Northern Mariana Islands | No | |||||
| Ohio | Yes | CN | 25 dates of service/year in non-hospital setting, 8 hours/month of psychological testing | Fee for service | ||
| Oklahoma | No | |||||
| Oregon | No | |||||
| Pennsylvania | No | |||||
| Puerto Rico | Yes | CN & MN | Limited to services rendered by contracted staff | Fee for service or capitated payment | ||
| Rhode Island | No | |||||
| South Carolina | No | |||||
| South Dakota | Yes | CN | $3/visit | 40 hours therapy/year | Fee for service | |
| Tennessee | Yes | A & B - See state-specific FN | ||||
| Texas | Yes | CN & MN | 30 visits/year | Fee for service | ||
| Utah | Yes | A & B - See state-specific FN | Services limited by type and by beneficiary age and condition | Fee for service | ||
| Vermont | Yes | A & B - See state-specific FN | Fee for service | |||
| U.S. Virgin Islands | No | |||||
| Virginia | Yes | CN & MN | 52 visits in year one and 26 visits in subsequent years | After initial 26 visits | Fee for service | |
| Washington | Yes | CN | 1 psychological evaluation/lifetime, 1 hour therapy/day up to 12 hours/year | Yes | Fee for service | |
| West Virginia | Yes | A, B & C | Yes | Fee for service | ||
| Wisconsin | Yes | CN & MN | $.50-$3, depending on service | Specified services | Fee for service | |
| Wyoming | Yes | CN | $2/therapy service | Fee for service |
2006
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 34 No - 22 | Yes - 12 No - 22 | ||||
| Alabama | Yes | CN | $1/visit | Specified set of procedures billable and only for diagnoses in 290-316 range, varying frequency limits | Fee for service | |
| Alaska | No | |||||
| American Samoa | No | |||||
| Arizona | Yes | CN & MN | Fee for service | |||
| Arkansas | No | |||||
| California | Yes | CN & MN | $1/visit | 2 service sessions/month included in limits with other specified providers in any setting | Fee for service | |
| Colorado | Yes | CN | $2/office visit, $.50/15 minute psych service | Fee for service | ||
| Connecticut | No | |||||
| Delaware | Yes | CN | 20 outpatient visits/year included in limit with other mental health providers | Fee for Service | ||
| District of Columbia | No | |||||
| Florida | No | |||||
| Georgia | No | |||||
| Guam | Yes | CN | 20 service sessions/year | Fee for service | ||
| Hawaii | Yes | CN & MN | 4 hours psychological testing/year | Psychotherapy | Fee for service | |
| Idaho | No | |||||
| Illinois | No | |||||
| Indiana | Yes | CN | 20 service/time units/year | Specified services including psychological testing | Fee for service | |
| Iowa | Yes | CN & MN | $2/day | Fee for service | ||
| Kansas | Yes | CN & MN | $3/office visit | 4 hours psychological testing and evaluation/2 years, 32 hours psychotherapy/year in combination with other providers | Fee for service | |
| Kentucky | No | |||||
| Louisiana | No | |||||
| Maine | Yes | CN & MN | $.50-$2/day, depending on payment, up to $20/month | 16 one-hour visits/year for individual or group counseling | Fee for service | |
| Maryland | Yes | CN & MN | Service and visit limits vary based on medical need | Yes | Fee for service | |
| Massachusetts | Yes | CN & MN | Limited to psychological testing and 1 testing session/6 months | Fee for service | ||
| Michigan | No | |||||
| Minnesota | Yes | A & B - See state-specific FN | Fee for service | |||
| Mississippi | No | |||||
| Missouri | Yes | CN | $2/day | Yes | Fee for service | |
| Montana | Yes | A & B - See state-specific FN | $1/visit | 16 service sessions/year for adults and 24 for children | Fee for service | |
| Nebraska | Yes | CN & MN | Fee for service | |||
| Nevada | Yes | CN | Scope of coverage based on intensity of need | Yes | Fee for service | |
| New Hampshire | Yes | CN & MN | 12 service sessions/year included in limits with other specified practitioners, must be by independent psychologist | Fee for service | ||
| New Jersey | Yes | CN & MN | Psychotherapy services up to $900/year or $400 for nursing facility residents | Fee for service | ||
| New Mexico | Yes | CN | A - $5/visit, B - $7/visit - see state-specific FN | Specified services | Fee for service | |
| New York | Yes | CN & MN | Fee for service | |||
| North Carolina | Yes | CN & MN | Fee for service | |||
| North Dakota | Yes | CN & MN | $2/visit | 40 psychotherapy visits/year | Fee for service | |
| Northern Mariana Islands | No | |||||
| Ohio | No | |||||
| Oklahoma | No | |||||
| Oregon | No | |||||
| Pennsylvania | No | |||||
| Puerto Rico | Yes | CN & MN | Limited to services rendered by contracted staff | Fee for service or capitated payment | ||
| Rhode Island | No | |||||
| South Carolina | No | |||||
| South Dakota | Yes | CN | $3/visit | 40 hours therapy/year | Fee for service | |
| Tennessee | Yes | A & B - See state-specific FN | ||||
| Texas | Yes | CN & MN | 30 visits/year | Fee for service | ||
| Utah | Yes | A & B - See state-specific FN | Services limited by type and by beneficiary age and condition | Fee for service | ||
| Vermont | Yes | A & B - See state-specific FN | A & B - $500/year limit on psychotherapy with some exceptions, B - only covered under PC Plus | Fee for service | ||
| U.S. Virgin Islands | No | |||||
| Virginia | Yes | CN & MN | After initial 5 visits | Fee for service | ||
| Washington | Yes | CN | Psychological evaluations only, treatment not covered | Yes | Fee for service | |
| West Virginia | Yes | CN & MN | Yes | Fee for service | ||
| Wisconsin | No | |||||
| Wyoming | Yes | CN | $2/therapy service | Fee for service |
2004
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 33 No - 23 | Yes - 10 No - 23 | ||||
| Alabama | Yes | CN | $1/visit | Specified set of procedures billable, varying frequency limits | Fee for service | |
| Alaska | No | |||||
| American Samoa | No | |||||
| Arizona | Yes | CN & MN | Fee for service | |||
| Arkansas | No | |||||
| California | Yes | CN & MN | $1/visit | 2 service sessions/month included in limits with other specified providers in any setting | Fee for service | |
| Colorado | Yes | CN | $2/office visit, $.50/15 minute psych service | Fee for service | ||
| Connecticut | No | |||||
| Delaware | Yes | CN | 20 outpatient visits/year included in limit with other mental health providers | Fee for service | ||
| District of Columbia | No | |||||
| Florida | No | |||||
| Georgia | No | |||||
| Guam | Yes | CN | 20 service sessions/year | Fee for service | ||
| Hawaii | Yes | CN & MN | 4 hours psychological testing/year | Psychotherapy | Fee for service | |
| Idaho | No | |||||
| Illinois | No | |||||
| Indiana | Yes | CN | 20 service/time units/year | Specified services including psychological testing | Fee for service | |
| Iowa | Yes | CN & MN | $2/day | Fee for service | ||
| Kansas | Yes | CN & MN | $3/office visit | 4 hours psychological testing and evaluation/2 years, 32 hours psychotherapy/year in combination with other providers | Fee for service | |
| Kentucky | No | |||||
| Louisiana | No | |||||
| Maine | Yes | CN & MN | $.50-$2/day, depending on payment, up to $20/month | Fee for service | ||
| Maryland | Yes | CN & MN | Service and visit limits vary based on medical need | Yes | Fee for service | |
| Massachusetts | Yes | CN & MN | Limited to psychological testing and 1 testing session/6 months | Fee for service | ||
| Michigan | No | |||||
| Minnesota | Yes | A & B - See state-specific FN | Fee for service | |||
| Mississippi | No | |||||
| Missouri | Yes | CN | Yes | Fee for service | ||
| Montana | Yes | A & B - See state-specific FN | $1/visit | 16 service sessions/year for adults and 24 for children | Fee for service | |
| Nebraska | Yes | CN & MN | Fee for service | |||
| Nevada | Yes | CN | Scope of coverage based on intensity of need | Yes | Fee for service | |
| New Hampshire | Yes | CN & MN | 12 service sessions/year included in limits with other specified practitioners, must be by independent psychologist | Fee for service | ||
| New Jersey | Yes | CN & MN | Psychotherapy services up to $900/year or $400 for nursing facility residents | Fee for service | ||
| New Mexico | Yes | CN | B - $7/visit - see state-specific FN | Specified services | Fee for service | |
| New York | Yes | CN & MN | Fee for service | |||
| North Carolina | Yes | CN & MN | Fee for service | |||
| North Dakota | Yes | CN & MN | $2/visit | 40 psychotherapy visits/year | Fee for service | |
| Northern Mariana Islands | No | |||||
| Ohio | No | |||||
| Oklahoma | No | |||||
| Oregon | No | |||||
| Pennsylvania | No | |||||
| Puerto Rico | Yes | CN & MN | Limited to services rendered by contracted staff | Cost based payment | ||
| Rhode Island | No | |||||
| South Carolina | No | |||||
| South Dakota | Yes | CN | 40 hours therapy/year | Fee for service | ||
| Tennessee | Yes | A & B - See state-specific FN | ||||
| Texas | No | |||||
| Utah | Yes | A & B - See state-specific FN | Services limited by type and by beneficiary age and condition | Fee for service | ||
| Vermont | Yes | A & B - See state-specific FN | $500/year limit on psychotherapy with some exceptions | Fee for service | ||
| U.S. Virgin Islands | No | |||||
| Virginia | Yes | CN & MN | After initial 5 visits | Fee for service | ||
| Washington | Yes | CN | Psychological evaluations only, treatment not covered | Yes | Fee for service | |
| West Virginia | Yes | CN & MN | Yes | Fee for service | ||
| Wisconsin | No | |||||
| Wyoming | Yes | CN | $1/therapy service | Fee for service |
2003
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 34 No - 22 | Yes - 9 No - 25 | ||||
| Alabama | Yes | CN | Specified set of procedures billable, varying frequency limits | Yes | Fee for service | |
| Alaska | No | |||||
| American Samoa | No | |||||
| Arizona | Yes | CN & MN | Fee for service | |||
| Arkansas | No | |||||
| California | Yes | CN & MN | $1/visit | 2 service sessions/month included in limits with other specified providers in any setting | Fee for service | |
| Colorado | Yes | CN | $2/office visit, $.50/15 minute psych service | Fee for service | ||
| Connecticut | Yes | CN & MN | 1 psych eval/year, 1 therapy visit of same type/day, limit of 8 persons in group therapy session | Yes | Fee for service | |
| Delaware | Yes | CN | 20 outpatient visits/year included in limit with other mental health providers | Fee for service | ||
| District of Columbia | No | |||||
| Florida | No | |||||
| Georgia | No | |||||
| Guam | Yes | CN | 20 service sessions/year | Fee for service | ||
| Hawaii | Yes | CN & MN | 4 hours psychological testing/year | Psychotherapy | Fee for service | |
| Idaho | No | |||||
| Illinois | No | |||||
| Indiana | Yes | CN | 20 service/time units/year | Specified services including psychological testing | Fee for service | |
| Iowa | Yes | CN & MN | $2/day | Fee for service | ||
| Kansas | Yes | CN & MN | $3/office visit | 4 hours psychological testing and evaluation/2 years, 32 hours psychotherapy/year in combination with other providers | Fee for service | |
| Kentucky | No | |||||
| Louisiana | No | |||||
| Maine | Yes | CN & MN | $.50-$2/day, depending on payment, up to $20/month | Fee for service | ||
| Maryland | Yes | CN & MN | Service and visit limits vary based on medical need | Yes | Fee for service | |
| Massachusetts | Yes | CN & MN | Limited to psychological testing and 1 testing session/6 months | Fee for service | ||
| Michigan | No | |||||
| Minnesota | Yes | A & B - See state-specific FN | Fee for service | |||
| Mississippi | No | |||||
| Missouri | No | |||||
| Montana | Yes | CN & MN | $1/visit | 16 service sessions/year for adults and 24 for children | Fee for service | |
| Nebraska | Yes | CN & MN | Fee for service | |||
| Nevada | Yes | CN | Scope of coverage based on intensity of need | Yes | Fee for service | |
| New Hampshire | Yes | CN & MN | 12 service sessions/year included in limits with other specified practitioners, must be by independent psychologist | Fee for service | ||
| New Jersey | Yes | CN & MN | Psychotherapy services up to $900/year or $400 for nursing facility residents | Fee for service | ||
| New Mexico | Yes | CN | B - $5/visit - see state-specific FN | Specified services | Fee for service | |
| New York | Yes | CN & MN | Fee for service | |||
| North Carolina | No | |||||
| North Dakota | Yes | CN & MN | Fee for service | |||
| Northern Mariana Islands | No | |||||
| Ohio | Yes | CN | 8 hours psychological testing/year, 4 service sessions/month up to 10/month in combination with other specified providers | Fee for service | ||
| Oklahoma | No | |||||
| Oregon | No | |||||
| Pennsylvania | No | |||||
| Puerto Rico | Yes | CN & MN | Limited to services rendered by contracted staff | Cost based payment | ||
| Rhode Island | No | |||||
| South Carolina | No | |||||
| South Dakota | Yes | CN | 40 hours therapy/year | Fee for service | ||
| Tennessee | Yes | A & B - See state-specific FN | ||||
| Texas | Yes | CN & MN | Fee for service | |||
| Utah | Yes | A & B - See state specific FN | Services limited by type and by beneficiary age and condition | Fee for service | ||
| Vermont | Yes | A & B - See state-specific FN | B - $7/visit | $500/year limit on psychotherapy with some exceptions | Fee for service | |
| U.S. Virgin Islands | No | |||||
| Virginia | Yes | CN & MN | After initial 5 visits | Fee for service | ||
| Washington | Yes | CN | Psychological evaluations only, treatment not covered | Yes | Fee for service | |
| West Virginia | Yes | CN & MN | 10 service sessions/year | After 10 therapy sessions | Fee for service | |
| Wisconsin | No | |||||
| Wyoming | Yes | CN | $2/therapy service | Fee for service |