Official Missouri Medicaid FFS for CPT 90846 (Family psychotherapy without the patient, 50 minutes) is $97.65 from MO HealthNet Behavioral Health, effective 2022-07-01, verified 2026-09-10. CY 2026 Medicare non-facility PFS is $104.01 to $105.24 across 3 CMS localities. Source: CMS RVU26D, October 2026 release and the official Missouri fee schedule. Not an MCO or commercial rate.
Last updated
Last verified 2026-09-10. Medicare effective 2026-10-01. Missouri Medicaid FFS effective 2022-07-01 (MO HealthNet Behavioral Health).
| Locality | Medicare non-facility | Medicare facility | Medicaid FFS | Commercial | Source |
|---|---|---|---|---|---|
Metropolitan Kansas City | $105.04 | $98.77 | $97.65 | Coming soon | CMS MPFS |
Metropolitan St. Louis | $105.24 | $98.88 | $97.65 | Coming soon | CMS MPFS |
Rest Of Missouri | $104.01 | $98.25 | $97.65 | Coming soon | CMS MPFS |
Compare an offered CPT 90846 rate in Missouri on Contract Checker v1.3 (code and state prefilled). When UnitedHealthcare publishes rates for this code and state, the tool also compares your offer to the UHC median and the middle 80% of UHC rates, alongside Medicare and Medicaid FFS. Aetna and Anthem stay Coming soon.
Questions
What is the Missouri Medicaid FFS amount for CPT 90846?
Official Missouri Medicaid FFS is $97.65 from MO HealthNet Behavioral Health, effective 2022-07-01, last verified 2026-09-10.
What is the 2026 Medicare rate for CPT 90846 in Missouri?
For CPT 90846 (Family psychotherapy without the patient, 50 minutes) in Missouri, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $104.01 to $105.24 across 3 CMS localities. Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
How does Missouri Medicaid FFS compare to Medicare for CPT 90846?
Missouri Medicaid FFS is $97.65; Medicare non-facility PFS is $104.01 to $105.24. These are different programs. The Medicaid cell is official fee-for-service only, not an MCO or commercial contracted rate. Source: https://apps.dss.mo.gov/fmsfeeschedules/DLFiles.aspx.
Where is the official Missouri Medicaid FFS source for CPT 90846?
Missouri Department of Social Services / MO HealthNet: MO HealthNet Behavioral Health fee schedule (provider files updated 2026-07-29). Source page: https://apps.dss.mo.gov/fmsfeeschedules/DLFiles.aspx. File: https://apps.dss.mo.gov/fmsfeeschedules/dlfiles/Behavioral%20Health.xlsx. Last verified 2026-09-10.
Is this Missouri CPT 90846 amount a Medicaid MCO or commercial contracted rate?
The Medicaid FFS cell is the official MO HealthNet Behavioral Health amount $97.65. That is fee-for-service, not an MCO rate. Commercial cells remain Coming soon until a parsed in-network file is loaded.