Behavioral health levels of care
A behavioral health facility contract is a schedule of level-specific rates, not one number: a per diem for detox, a per diem for residential, a program rate for partial hospitalization and intensive outpatient. Each level bills on its own HCPCS and revenue codes, is priced on its own terms, and is only comparable to the same level at another facility. These pages take each level of care from the reimbursement side — what it is in contracting terms, how a day of it bills, what determines the rate a payer pays for it, and how a facility finds out where its own rate stands.
The levels
The facility levels of care first — the lines most behavioral health contracts are built around.
Detox reimbursement rates
The most acute facility level: a per-diem line for medically monitored withdrawal management. How it bills, what drives the rate, and where the Medicaid floor sits.
Read the guideResidential treatment reimbursement rates
The level most facility contracts are built around: a per diem for 24-hour, non-acute, program-based care — whatever the program treats. How it bills and what drives the rate.
Read the guidePartial hospitalization reimbursement rates
The day-program level between residential and IOP: a program rate for most of a day, home at night. How a PHP day bills, what drives the rate, and why diagnosis doesn't.
Read the guideIntensive outpatient reimbursement rates
The program level between PHP and standard outpatient: several hours a day, several days a week, living at home. How an IOP day bills, and why the day definition drives the rate.
Read the guideHow to read this section
These are reimbursement pages, not clinical ones. The continuum itself — what distinguishes medically managed detox from residential, residential from partial hospitalization — is walked level by level in Levels of care, explained, and the short answers are in the reimbursement FAQ. Each hub here starts from that definition and stays on how the level is paid.
Two things hold on every page. A level bills on a code, but a code is not a rate: a public fee schedule may list one price for a level's code, and a commercial negotiated rate on it is a contract outcome that varies facility to facility (Medicaid fee schedules vs. commercial negotiated rates). And the codes are diagnosis-agnostic: a residential program bills the residential level whatever it treats (there is no eating-disorder billing code). What each code represents, and how revenue codes and HCPCS codes relate on one claim, is on the billing codes pages and in Behavioral health revenue codes, explained.
How each level becomes a comparable rate — extraction, normalization, and level-of-care mapping — is on the coverage and methodology page.
See our methodologySee where your facility's rates rank.
A free rate analysis compares your contract to actual negotiated rates in your market, by level of care and code.