101 CMR, § 329.05

Current through Register 1533, October 25, 2024

Section 329.05 - Allowable Fees for Other Psychological and Independent Clinical Social Work Services

(1) The payment rates for psychological services provided by a psychologist are as follows.

Service Code	Allowable Fee	Description
90791-AH	$136.38	Psychiatric diagnostic evaluation. (Diagnostic services.)
90791-HA-AH	$151.38	Psychiatric diagnostic evaluation performed with a CANS (Children and Adolescent Needs and Strengths)
90832-AH	$59.16	Psychotherapy, 30 minutes with patient. (Individual therapy.)
90834-AH	$95.46	Psychotherapy, 45 minutes with patient. (Individual therapy.)
90837-AH	$125.69	Psychotherapy, 60 minutes with patient. (Individual therapy.)
90847-AH	$101.43	Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes.
90853-AH	$30.31 per client, 1U hour session	Group psychotherapy (other than of a multiple-family group). (Group therapy. Limited to 12 clients per group.)
90882-AH	$71.80	Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions
90887-AH	$67.31	Interpretation or explanation of results of psychiatric, or other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient (per U hour)

(2) The payment rates for independent clinical social work services provided by a licensed independent clinical social worker are as follows.

Service Code	Allowable Fee	Description
90791-AH	$130.48	Psychiatric diagnostic evaluation. (Diagnostic services.)
90791-HA-HO	$145.48	Psychiatric diagnostic evaluation performed with a CANS (Children and Adolescent Needs and Strengths)
90832-HO	$52.20	Psychotherapy, 30 minutes with patient. (Individual therapy.)
90834-HO	$95.46	Psychotherapy, 45 minutes with patient. (Individual therapy.)
90837-HO	$125.69	Psychotherapy, 60 minutes with patient. (Individual therapy.)
90847-HO	$101.43	Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes.
90853-HO	$30.31 per client 1U hour session	Group psychotherapy (other than of a multiple-family group). (Group therapy. Limited to 12 clients per group.)
90882 -HO	$71.80	Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions.
90887-HO	$59.40	Interpretation or explanation of results of psychiatric, or other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient (per U hour)

101 CMR, § 329.05

Amended by Mass Register Issue 1485, eff. 1/1/2023.