Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners
Section 10.21.25.05 - Fee Schedule - Treatment Services - Diagnosis and Therapy

Universal Citation: MD Code Reg 10.21.25.05

Current through Register Vol. 51, No. 19, September 20, 2024

A. Diagnostic Interview. The Department shall reimburse a provider for a face-to-face diagnostic interview, as follows:

(1) For a child or adolescent, when rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

(a) OMHC ... $190.23;

(b) Physician ... $151.68;

(d) Other mental health professionals ... $106.01;

(2) For an adult:

(a) OMHC ... $170.32;

(b) Physician ... $151.68;

(d) Other mental health professional ... $106.01.

B. Individual Therapy. The Department shall reimburse a provider for an individual therapy session, as follows:

(1) For a child or adolescent, when rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

(a) For 30 minutes:

(i) OMHC ... $59.19;

(ii) Physician ... $50.05;

(iii) Psychologist ... $40.09;

(iv) Other mental health professional ... $34.98;

(b) For 20-30 minutes, with biofeedback training:

(i) OMHC ... $50.05;

(ii) Physician ... $50.05;

(iii) Psychologist ... $40.09;

(iv) Other mental health professional ... $34.98;

(i) OMHC ... $105.20;

(ii) Physician ... $90.94;

(iii) Psychologist ... $72.65;

(iv) Other mental health professional ... $63.77;

(d) For 45-50 minutes, with biofeedback training:

(i) OMHC ... $90.94 ;

(ii) Physician ... $90.94;

(iii) Psychologist ... $72.65;

(iv) Other mental health professional ... $63.77;

(e) For 60 minutes in an OMHC ... $105.20;

(2) For an adult:

(a) For 30 minutes:

(i) OMHC ... $50.05;

(ii) Physician ... $50.05;

(iii) Psychologist ... $40.09;

(iv) Other mental health professional ... $34.98;

(b) For 20-30 minutes, with biofeedback training:

(i) OMHC ... $50.05;

(ii) Physician ... $50.05;

(iii) Psychologist ... $40.09;

(iv) Other mental health professional ... $34.98;

(i) OMHC ... $90.94;

(ii) Physician ... $90.94;

(iii) Psychologist ... $72.65;

(iv) Other mental health professional ... $63.77;

(d) For 45-50 minutes, with biofeedback training:

(i) OMHC ... $90.94 ;

(ii) Physician ... $90.94 ;

(iii) Psychologist ... $72.65;

(iv) Other mental health professional ... $63.77;

(e) For 60 minutes in an OMHC ... $90.94;

C. Family Therapy. The Department shall reimburse a provider for a family therapy session, as follows:

(1) When the identified patient is a child or adolescent and the service is rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

(a) Without the identified patient:

(i) OMHC ... $104.13;

(ii) Physician ... $85.02;

(iii) Psychologist ... $69.96;

(iv) Other mental health professional ... $53.81;

(b) With the identified patient, for 20-30 minutes:

(i) OMHC ... $58.65;

(ii) Physician ... $58.65;

(iii) Psychologist ... $46.82;

(iv) Other mental health professional ... $41.17;

(i) OMHC ... $107.62;

(ii) Physician ... $94.71;

(iii) Psychologist ... $76.41;

(iv) Other mental health professional ... $65.64;

(2) When the identified patient is an adult:

(a) Without the identified patient for 45-60:

(i) OMHC ... $190.14;

(ii) Physician ... $85.02;

(iii) Psychologist ... $69.96;

(iv) Other mental health professional ... $53.81;

(b) With the identified patient, for 45-60 minutes:

(i) OMHC ... $94.71;

(ii) Physician ... $94.71;

(iii) Psychologist ... $76.41;

(iv) Other mental health professional ... $65.64.

D. Group Therapy. The Department shall reimburse a provider for each individual, up to a maximum of 10, in a group therapy session as follows:

(1) When the identified patient is a child or adolescent and the service is rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

(a) For 45-60 minutes:

(i) OMHC ... $40.90;

(ii) Physician ... $24.75;

(iii) Psychologist ... $24.75;

(iv) Other mental health professional ... $24.75;

(b) For more than 75 minutes in an OMHC ... $50.58;

(2) When the identified patient is an adult:

(a) For 45-60 minutes:

(i) OMHC ... $38.74;

(ii) Physician ... $24.75;

(iii) Psychologist ... $24.75;

(iv) Other mental health professional ... $24.75;

(b) For more than 75 minutes in an OMHC ... $50.58.

Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.

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