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 10.21.25.12 - Evaluation and Management Services-Including Medication Management

Universal Citation: MD Code Reg 10.21.25.12

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

A. New Patients. The Department shall reimburse for evaluation and management services for new patients, including medication management:

(1) For a problem focused history, or a problem focused examination, and straightforward medical decision making of minor complexity:

(a) OMHC . $48.70;

(b) Physician . $48.70;

(2) For an expanded problem focused history, or an expanded problem focused examination, and straightforward medical decision making:

(a) OMHC . $82.48;

(b) Physician . $82.48;

(3) For a detailed history, or a detailed examination, and medical decision of low complexity:

(a) OMHC . $119.25;

(b) Physician . $119.25;

(4) For a comprehensive history, or a comprehensive medical examination, with medical decision making of moderate complexity:

(a) OMHC . $181.64;

(b) Physician . $181.64;

(5) For a comprehensive history, or a comprehensive medical examination, with medical decision making of high complexity:

(a) OMHC . $224.53;

(b) Physician . $224.53;

B. Established Patients. The Department shall reimburse for evaluation and management services for established patients, including medication management:

(1) For a history, or examination, where presenting problems are minimal, and straightforward medical decision making of minor complexity:

(a) OMHC . $22.72;

(b) Physician . $22.72;

(2) For a problem focused history, or a problem focused examination, and straightforward medical decision making:

(a) OMHC . $48.70;

(b) Physician . $48.70;

(3) For an expanded history, or an expanded examination, and medical decision of low complexity:

(a) OMHC . $80.11;

(b) Physician . $80.11;

(4) For a detailed history, or a detailed medical examination, with medical decision making of moderate complexity:

(a) OMHC . $117.60;

(b) Physician . $117.60;

(5) For a comprehensive history, or a comprehensive medical examination, with medical decision making of high complexity:

(a) OMHC . $157.64;

(b) Physician . $157.64;

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.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.