Md. Code Regs. 10.21.25.07

Current through Register Vol. 51, No. 12, June 14, 2024

Section 10.21.25.07 - Fee Schedule - Special OMHC Services

A. Treatment Planning. The Department shall reimburse an OMHC for providing an OMHC-enrolled individual with one face-to-face treatment planning meeting every 6 months, at the rate of $82.87 per planning meeting.

B. Multifamily Group Therapy. The Department shall reimburse an OMHC for providing multifamily group therapy, with the identified patient, for families of:

(1) Children and adolescents, for 45-60 minutes, with the child present ... $41.98 per family;

(2) Children and adolescents, for 20-30 minutes, with the child present ... $38.55 per family;

(3) Adults, for 45-60 minutes, with the adult present ... $39.83 per family

(4) Adults, for 20-30 minutes, with the adult present ... $35.75 per family;

C. Family Psychoeducation. The Department shall reimburse a provider, when the provider has been approved by the Administration to provide evidence-based services, for a family psychoeducation session with or without the identified adult, at a rate of $53.81 per family.

D. Prolonged Services. The Department shall reimburse an OMHC for providing, on-site, prolonged services, face-to-face with the identified patient, as follows:

(1) For 30-74 minutes ... $106.79;

(2) For an additional period of 30 minutes ... $104.10.

E. Venipuncture and Injection. The Department shall reimburse an OMHC for providing:

(1) Routine venipuncture ... $14.94;

(2) Therapeutic injection ... $14.94.

F. Intensive Outpatient Services. The Department shall reimburse an OMHC for providing intensive outpatient services, when the services are delivered by a multidisciplinary team for a minimum of 3 hours of therapeutic activities, including needed physician services and at least two group therapies, as follows:

(1) For children or adolescents ... $154.17 per day;

(2) For adults ... $129.69 per day.

G. Discharge Data Submission. The Department shall reimburse an OMHC $21.53 for discharge data submission.

Md. Code Regs. 10.21.25.07

Regulations .07 adopted as an emergency provision effective July 1, 1997 (24:18 Md. R. 1293); adopted permanently effective October 20, 1997 (24:21 Md. R. 1449)
Regulations .07 amended as an emergency provision effective July 1, 2007 (34:17 Md. R. 1506); amended permanently effective October 8, 2007 (34:20 Md. R. 1739)
Regulations.07, amended as an emergency provision effective July 1, 2008 (35:21 Md. R. 1822)
Regulations.07, amended as an emergency provision effective December 22, 2008 (36:2 Md. R. 97); amended permanently effective March 23, 2009 (36:6 Md. R. 491)
Regulation .07 amended effective January 7, 2013 (39:26 Md. R. 1664);41:2 Md. R. 91, eff. 2/3/2014