Current fee-for-service (FFS) rates published by Mississippi Division of Medicaid for behavioral health codes. ABA therapy and psychotherapy codes, plus the E/M codes CMS requires in the Medicaid-vs-Medicare comparative analysis for outpatient mental health/SUD.
FFS benchmark rates only — managed care organization (MCO) contract rates may differ. Not legal or compliance advice.
| Code | Description | Variant | Rate | Effective | Status |
|---|---|---|---|---|---|
| 97153 | Adaptive behavior treatment delivered one-on-one by a technician, per 15 minutes. | child · DEF | $15.08 / 15 min | 2025-12-01 | Auto-extracted |
| 90791 | Initial psychiatric diagnostic evaluation without medical services. | SDF | $125.93 / encounter | 2025-07-01 | Auto-extracted |
| DEF | $144.29 / encounter | 2025-07-01 | Auto-extracted | ||
| 90837 | Individual psychotherapy, approximately 60 minutes. | DEF | $133.76 / session (60 min) | 2025-07-01 | Auto-extracted |
| SDF | $118.63 / session (60 min) | 2025-07-01 | Auto-extracted |
Source: Mississippi Division of Medicaid
No. These are fee-for-service (FFS) benchmark rates published directly by Mississippi's Medicaid agency. Managed care organizations (MCOs) negotiate their own contract rates separately, and those aren't published publicly — FFS rates are commonly used as a reference point, not a guarantee of what an MCO will pay.
It varies by state and code — some update annually, others quarterly or on an as-needed basis. MedicaidBench checks official sources continuously and logs the effective date and source document for every rate change.
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