Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 352.00 - Rates of Payment for Certain Children's Behavioral Health Services
Section 352.03 - Rate Provisions
Current through Register 1518, March 29, 2024
(1) Rates as Full Compensation. The rates under 101 CMR 352.03 constitute full compensation for children's behavioral health services provided by community service agencies to publicly aided patients, including full compensation for necessary administration and professional supervision associated with patient care.
(2) Rates of Payment. Payment rates under 101 CMR 352.03 are the lowest of
(3) Fee Schedule.
H0038 |
$24.69 |
Self-help/peer services, per 15 minutes (parent-caregiver peer-to-peer support service provided by a family partner) |
H2011-HN |
$30.57 |
Crisis intervention service, per 15 minutes (mobile crisis intervention service provided by a paraprofessional, hospital emergency department) |
H2011-HO |
$39.70 |
Crisis intervention service, per 15 minutes (mobile crisis intervention service provided by a master-level clinician, hospital emergency department.) |
H2014-HN |
$20.15 |
Skills training and development, per 15 minutes (behavior management monitoring provided by a bachelor-level clinician) |
H2014-HO |
$33.86 |
Skills training and development, per 15 minutes (behavior management therapy provided by a master-level clinician) |
H2019-HN |
$22.67 |
Therapeutic behavioral services, per 15 minutes (therapeutic training and support services provided by a bachelor-level clinician) |
H2019-HO |
$32.33 |
Therapeutic behavioral services, each 15 minutes (in-home therapy provided by a master-level clinician) |
T1027-EP |
$23.24 |
Family training and counseling for child development, per 15 minutes (therapeutic mentoring service) |
H0023-HT |
$66.99 |
Behavioral Health Outreach Service (Targeted Case Management (multi-disciplinary team) that includes family support and training and intensive care coordination per day) |
(4) Coding Updates and Corrections. EOHHS may publish procedure code updates and corrections in the form of an administrative bulletin. The publication of such updates and corrections will list
(5) Administrative Bulletins. EOHHS may issue administrative bulletins to clarify its policy on, and understanding of, substantive provisions of 101 CMR 352.00.
(6) Billing. Each eligible provider must bill the governmental unit according to the appropriate fee schedule on a prescribed form. Each specific service must be separately enumerated on the bill.