# COMAR Title 10 — Maryland Department of Health

## Subtitle 21 — Behavioral Health Regulations

### Chapter 25 — Fee Schedule — Mental Health Services — Community-Based Programs and Individual Practitioners

#### Regulation .05 Fee Schedule — Treatment Services — Diagnosis and Therapy.

*COMAR 10.21.25.05*

A. Diagnostic Interview. The Department shall reimburse a provider for a face-to-face diagnostic interview, as follows:

  (1) For a child or adolescent, when rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

    (a) OMHC ... $190.23;

    (b) Physician ... $151.68;

    (c) Psychologist ... $121.08;

    (d) Other mental health professionals ... $106.01;

  (2) For an adult:

    (a) OMHC ... $170.32;

    (b) Physician ... $151.68;

    (c) Psychologist ... $121.08;

    (d) Other mental health professional ... $106.01.

B. Individual Therapy. The Department shall reimburse a provider for an individual therapy session, as follows:

  (1) For a child or adolescent, when rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

    (a) For 30 minutes:

      (i) OMHC ... $59.19;

      (ii) Physician ... $50.05;

      (iii) Psychologist ... $40.09;

      (iv) Other mental health professional ... $34.98;

    (b) For 20 — 30 minutes, with biofeedback training:

      (i) OMHC ... $50.05;

      (ii) Physician ... $50.05;

      (iii) Psychologist ... $40.09;

      (iv) Other mental health professional ... $34.98;

    (c) For 45 minutes:

      (i) OMHC ... $105.20;

      (ii) Physician ... $90.94;

      (iii) Psychologist ... $72.65;

      (iv) Other mental health professional ... $63.77;

    (d) For 45 — 50 minutes, with biofeedback training:

      (i) OMHC ... $90.94;

      (ii) Physician ... $90.94;

      (iii) Psychologist ... $72.65;

      (iv) Other mental health professional ... $63.77;

    (e) For 60 minutes in an OMHC ... $105.20;

  (2) For an adult:

    (a) For 30 minutes:

      (i) OMHC ... $50.05;

      (ii) Physician ... $50.05;

      (iii) Psychologist ... $40.09;

      (iv) Other mental health professional ... $34.98;

    (b) For 20 — 30 minutes, with biofeedback training:

      (i) OMHC ... $50.05;

      (ii) Physician ... $50.05;

      (iii) Psychologist ... $40.09;

      (iv) Other mental health professional ... $34.98;

    (c) For 45 minutes:

      (i) OMHC ... $90.94;

      (ii) Physician ... $90.94;

      (iii) Psychologist ... $72.65;

      (iv) Other mental health professional ... $63.77;

    (d) For 45 — 50 minutes, with biofeedback training:

      (i) OMHC ... $90.94;

      (ii) Physician ... $90.94;

      (iii) Psychologist ... $72.65;

      (iv) Other mental health professional ... $63.77;

    (e) For 60 minutes in an OMHC ... $90.94.

C. Family Therapy. The Department shall reimburse a provider for a family therapy session, as follows:

  (1) When the identified patient is a child or adolescent and the service is rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

    (a) Without the identified patient:

      (i) OMHC ... $104.13;

      (ii) Physician ... $85.02;

      (iii) Psychologist ... $69.96;

      (iv) Other mental health professional ... $53.81;

    (b) With the identified patient, for 20 — 30 minutes:

      (i) OMHC ... $58.65;

      (ii) Physician ... $58.65;

      (iii) Psychologist ... $46.82;

      (iv) Other mental health professional ... $41.17;

    (c) With the identified patient, for 45 — 60 minutes:

      (i) OMHC ... $107.62;

      (ii) Physician ... $94.71;

      (iii) Psychologist ... $76.41;

      (iv) Other mental health professional ... $65.64;

  (2) When the identified patient is an adult:

    (a) Without the identified patient for 45 — 60:

      (i) OMHC ... $90.14;

      (ii) Physician ... $85.02;

      (iii) Psychologist ... $69.96;

      (iv) Other mental health professional ... $53.81;

    (b) With the identified patient, for 45 — 60 minutes:

      (i) OMHC ... $94.71;

      (ii) Physician ... $94.71;

      (iii) Psychologist ... $76.41;

      (iv) Other mental health professional ... $65.64.

D. Group Therapy. The Department shall reimburse a provider for each individual, up to a maximum of 10, in a group therapy session as follows:

  (1) When the identified patient is a child or adolescent and the service is rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

    (a) For 45 — 60 minutes:

      (i) OMHC ... $40.90;

      (ii) Physician ... $24.75;

      (iii) Psychologist ... $24.75;

      (iv) Other mental health professional ... $24.75;

    (b) For more than 75 minutes in an OMHC ... $50.58;

  (2) When the identified patient is an adult:

    (a) For 45 — 60 minutes:

      (i) OMHC ... $38.74;

      (ii) Physician ... $24.75;

      (iii) Psychologist ... $24.75;

      (iv) Other mental health professional ... $24.75;

    (b) For more than 75 minutes in an OMHC ... $50.58.