EXHIBIT 3. State-to-national Medicaid fee index comparing reimbursement rates for selected mental health services across state Medicaid programs with a national average, 2022.

source Authors’ analysis of publicly available 2022 Medicaid fee-for-service physician fee schedules for a set of common mental health services. notes The state-to-national Medicaid index is a weighted sum of the ratios of each state’s Medicaid reimbursement for a given service to the corresponding national average. The weight for each service was its share of total service volume among the entire set of services evaluated. Fee ratios were calculated as the state’s Medicaid fee schedule rate divided by an enrollment-weighted national average Medicaid payment rate.