Md. Code Regs. 10.09.34.06

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.09.34.06 - Payment Procedures

A. Request for payment of services shall be submitted in accordance with COMAR 10.09.36.04A.

B. Billing time limitations for claims submitted pursuant to this chapter as set forth in COMAR 10.09.36.06A.

C. Reimbursement for services covered under this chapter is as follows:

(1) For dates of service from November 1, 2021 through June 30, 2022:

(a) Initial therapeutic assessment and reassessment at a rate of $136.12; and

(b) Therapeutic behavioral services at a rate of:

(i) $29.50 for the first 30 minutes; and

(ii) $14.75 for each additional 15 minutes.

(2) Effective July 1, 2022:

(a) Initial therapeutic assessment and reassessment at a rate of $145.99; and

(b) Therapeutic behavioral services at a rate of:

(i) $31.64 for the first 30 minutes; and

(ii) $15.82 for each additional 15 minutes.

Md. Code Regs. 10.09.34.06

Regulation .06 amended effective 43:03 Md. R. 273, eff.2/15/2016; amended effective 49:25 Md. R.1041-1070, eff. 12/12/2022; amended effective 50:16 Md. R. 726, eff. 8/21/2023