Current through Register Vol. 51, No. 19, September 20, 2024
A. Therapeutic Nursery Programs. The
Department shall reimburse a program approved under COMAR 10.21.18 to provide
therapeutic nursery services to eligible children, younger than 5 years old, at
a rate of $42.20 per day, for a minimum of 3 days per week, 3 hours per
day.
B. Mobile Treatment Services.
The Department shall reimburse a program for mobile treatment services
delivered to an individual:
(1) For a minimum
of four face-to-face services, and according to a treatment plan that outlines
the expected type and frequency of services;
(2) At the rate of:
(a) $839.45 per month; or
(b) If the individual is a Medicare
recipient, $643.58 per month, if the program has:
(i) Delivered services according to the
provision of §A(1) of this regulation; and
(ii) Billed applicable Medicare reimbursed
services;
(3)
For enhanced support, when the need for short-term one-to-one support is
documented and approved by the Administration or its designee:
(a) At the rate of $12.91 per hour;
(b) Up to a maximum of $129.10 per
day;
(c) Not to exceed 30 days per
calendar year.
(4) For
evidence-based programs, assertive community treatment (ACT), at the rate of:
(a) For Medicaid recipients and other
individuals meeting eligibility criteria for uninsured, $$1,183.34 per month;
or
(b) If the individual has
Medicare only, $1,049.31 per month.
C. Partial Hospitalization. For programs
approved under COMAR 10.21.02 or licensed under COMAR
10.63.03.08, the Department shall
reimburse:
(1) A non-hospital-based partial
hospitalization (psychiatric day treatment) program, for services provided to
an eligible Medicaid recipient:
(a) For a
full day, a minimum of 6.5 hours of therapeutic activities per day ... $203.68
per day;
(b) For a half day, or
intensive, outpatient services, when the services are delivered by a
multidisciplinary team, for a minimum of 4 hours of therapeutic activities,
including at least two group therapies ... $110.85 per day;
(2) HSCRC programs that meet the
minimum requirements of COMAR 10.21.02, at the rate established by the
HSCRC;
(3) OMHC, for intensive
outpatient services provided to a Medicaid recipient in a psychiatric day
treatment program:
(a) For adults ...
$129.69;
(b) For children and
adolescents ... $154.17; and
(4) For physician services, at the rates
established under Regulation .06D of this chapter.
D. The Department may not reimburse a partial
hospitalization program (psychiatric day treatment) or an OMHC intensive
outpatient mental health program on the same day that an intensive outpatient
program or service is provided for substance abuse treatment.
E. Residential Crisis Services. The
Department shall reimburse a provider for residential crisis services delivered
to an individual, as follows:
(1) As an
alternative to inpatient admission or to shorten the length of inpatient stay:
(a) For clinical services ... $$252.34 per
day;
(b) For room and board ...
$12.59 per day;
(2)
Treatment foster care ... $162.25 per day; and
(3) For physician services, at the rates
established for services rendered to an individual in an inpatient setting
under Regulation .05D of this chapter.
