<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.21.25.05" title_num="10" subtitle_num="21" chapter_num="25" heading="Fee Schedule — Treatment Services — Diagnosis and Therapy.">
  <paragraph num="A.">
    <text>Diagnostic Interview. The Department shall reimburse a provider for a face-to-face diagnostic interview, as follows:</text>
    <paragraph num="(1)">
      <text>For a child or adolescent, when rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:</text>
      <paragraph num="(a)">
        <text>OMHC ... $190.23;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $151.68;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Psychologist ... $121.08;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Other mental health professionals ... $106.01;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>For an adult:</text>
      <paragraph num="(a)">
        <text>OMHC ... $170.32;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $151.68;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Psychologist ... $121.08;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Other mental health professional ... $106.01.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Individual Therapy. The Department shall reimburse a provider for an individual therapy session, as follows:</text>
    <paragraph num="(1)">
      <text>For a child or adolescent, when rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:</text>
      <paragraph num="(a)">
        <text>For 30 minutes:</text>
        <paragraph num="(i)">
          <text>OMHC ... $59.19;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $50.05;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $40.09;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $34.98;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>For 20 — 30 minutes, with biofeedback training:</text>
        <paragraph num="(i)">
          <text>OMHC ... $50.05;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $50.05;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $40.09;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $34.98;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>For 45 minutes:</text>
        <paragraph num="(i)">
          <text>OMHC ... $105.20;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $90.94;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $72.65;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $63.77;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>For 45 — 50 minutes, with biofeedback training:</text>
        <paragraph num="(i)">
          <text>OMHC ... $90.94;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $90.94;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $72.65;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $63.77;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>For 60 minutes in an OMHC ... $105.20;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>For an adult:</text>
      <paragraph num="(a)">
        <text>For 30 minutes:</text>
        <paragraph num="(i)">
          <text>OMHC ... $50.05;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $50.05;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $40.09;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $34.98;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>For 20 — 30 minutes, with biofeedback training:</text>
        <paragraph num="(i)">
          <text>OMHC ... $50.05;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $50.05;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $40.09;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $34.98;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>For 45 minutes:</text>
        <paragraph num="(i)">
          <text>OMHC ... $90.94;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $90.94;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $72.65;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $63.77;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>For 45 — 50 minutes, with biofeedback training:</text>
        <paragraph num="(i)">
          <text>OMHC ... $90.94;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $90.94;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $72.65;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $63.77;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>For 60 minutes in an OMHC ... $90.94.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Family Therapy. The Department shall reimburse a provider for a family therapy session, as follows:</text>
    <paragraph num="(1)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>Without the identified patient:</text>
        <paragraph num="(i)">
          <text>OMHC ... $104.13;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $85.02;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $69.96;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $53.81;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>With the identified patient, for 20 — 30 minutes:</text>
        <paragraph num="(i)">
          <text>OMHC ... $58.65;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $58.65;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $46.82;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $41.17;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>With the identified patient, for 45 — 60 minutes:</text>
        <paragraph num="(i)">
          <text>OMHC ... $107.62;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $94.71;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $76.41;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $65.64;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>When the identified patient is an adult:</text>
      <paragraph num="(a)">
        <text>Without the identified patient for 45 — 60:</text>
        <paragraph num="(i)">
          <text>OMHC ... $90.14;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $85.02;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $69.96;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $53.81;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>With the identified patient, for 45 — 60 minutes:</text>
        <paragraph num="(i)">
          <text>OMHC ... $94.71;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $94.71;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $76.41;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $65.64.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Group Therapy. The Department shall reimburse a provider for each individual, up to a maximum of 10, in a group therapy session as follows:</text>
    <paragraph num="(1)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>For 45 — 60 minutes:</text>
        <paragraph num="(i)">
          <text>OMHC ... $40.90;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $24.75;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $24.75;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $24.75;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>For more than 75 minutes in an OMHC ... $50.58;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>When the identified patient is an adult:</text>
      <paragraph num="(a)">
        <text>For 45 — 60 minutes:</text>
        <paragraph num="(i)">
          <text>OMHC ... $38.74;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician ... $24.75;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Psychologist ... $24.75;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other mental health professional ... $24.75;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>For more than 75 minutes in an OMHC ... $50.58.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>