Understanding Your Medical Assistance Rates

State of MN Medical Assistance Plans (or PMAP HP/UHC/Blue Plus, etc)

The amounts below are the amounts documented in the first 2 quarters of 2024

The amount the insurance will pay for each session type.

Diagnostic Intake Session=$120.63-$126

60 Minute Session=$102-$109.70

45 Minute Session=$69-$74.34

30 Minute Session=$54.55

Family Therapy (30-60 minutes)=$70.25

Family Therapy without client present (30-60 minutes)=unknown

After the amount above is paid to the provider/clinic by the health insurance plan, we the provider are required to pay 1.8% of healthcare income to the state of MN in the form of a tax called MN provider tax. This amount is decided by legislation and ranges from 1.6%-2% depending on the year.

Sample Medicaid EOB

Fee we charge for 45 minute session $200

CO -$131

Insurance pays $69

Patient pays $0

Understanding Your Medical Assistance Rates

State of MN Medical Assistance Plans (or PMAP HP/UHC/Blue Plus, etc)

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