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 10.21.25.06 - Fee Schedule - Additional Treatment Services

Universal Citation: MD Code Reg 10.21.25.06

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

A. Psychological Testing.

(1) The Department shall reimburse a psychologist for conducting psychological testing, up to a maximum of 8 hours per year per individual as follows:
(a)OMHC psychologist ... $99.02 per hour;

(2) Other psychologist ... $99.02 per hour;

(3) OMHC psychologist associate ... $27.55 per hour;

(4) Other psychologist associate ... $27.55 per hour.

B. Occupational Therapy. The Department shall reimburse an occupational therapist for providing services, as follows:

(1) To an individual, payable in 15-minute increments, for faceto- face:
(a) Therapeutic activities ... $11.83 per 15 minutes;

(b) Self-care, home management training ... $11.83 per 15 minutes;

(c) Community and work reintegration ... $11.83 per 15 minutes;

(d) Development of cognitive skills ... $11.83 per 15 minutes;

(e) Occupational therapy evaluation and re-evaluation ... $15.07 per 15 minutes;

(2) For each individual, up to a maximum of 10, in a group therapy session of a minimum of 60 minutes ... $18.30.

C. Physician Services. The Department shall reimburse for services rendered to a child, adolescent, or adult, by an appropriately privileged physician or certified registered nurse practitioner - psychiatric only, as follows:

(1) The patient's primary care physician in an inpatient or partial hospital setting:
(a) Initial care:
(i) For a minimum of 30 minutes ... $108.43;

(ii) For a minimum of 50 minutes ... $147.19;

(iii) For a minimum of 70 minutes ... $216.47;

(b) Subsequent care:
(i) For a minimum of 15 minutes ... $41.71;

(ii) For a minimum of 25 minutes ... $76.73;

(iii) For a minimum of 35 minutes ... $110.63;

(c) Discharge day management:
(i) For 30 minutes or less ... $77.68;

(ii) For more than 30 minutes ... $114.63;

(d) For discharge data submission ... $21.53;

(e) For individual therapy, in an inpatient setting:
(i) For 30 minutes ... $43.78;

(ii) For 45 minutes ... $82.30;

(2) The patient's primary certified registered nurse practitioner - psychiatric, in an inpatient or partial hospital setting:
(a) Initial care:
(i) For a minimum of 30 minutes ... $108.43 ;

(ii) For a minimum of 50 minutes ... $147.19 ;

(iii) For a minimum of 70 minutes ... $216.47;

(b) Subsequent care:
(i) For a minimum of 15 minutes ... $41.71 ;

(ii) For a minimum of 25 minutes ... $76.73 ;

(iii) For a minimum of 35 minutes ... $110.63 ;

(c) Discharge day management:
(i) For 30 minutes or less ... $77.68;

(ii) For more than 30 minutes ... $114.63;

(d) For individual therapy, in an inpatient setting:
(i) For 30 minutes ... $30.65;

(ii) For 45 minutes ... $57.61;

(3) For electroconvulsive therapy, in an inpatient setting:
(a) Including monitoring ... $98.39;

(b) Anesthesia ... $98.27;

(4) A consultant physician, or a consultant certified registered nurse practitioner - psychiatric, in an inpatient or partial hospital setting, initial consult, for a minimum of:
(a) 20 minutes ... $51.66;

(b) 40 minutes ... $79.60;

(c) 55 minutes ... $121.30;

(d) 80 minutes ... $174.86;

(e) 110 minutes ... $217.80;

(5) A consultant physician or a consultant certified registered nurse practitioner - psychiatric, in an outpatient setting:
(a) For a minimum of 15 minutes ... $51.49;

(b) For a minimum of 30 minutes ... $96.74;

(c) For a minimum of 40 minutes ... $131.91;

(d) For a minimum of 60 minutes ... $194.98;

(e) For a minimum of 80 minutes ... $237.73;

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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