# 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 .06 Fee Schedule — Additional Treatment Services.

*COMAR 10.21.25.06*

A. Psychological Testing. The Department shall reimburse a psychologist for conducting psychological testing, up to a maximum of 8 hours per year per individual as follows:

  (1) OMHC psychologist ... $99.02 per hour;

  (2) Other psychologist ... $99.02 per hour;

  (3) OMHC psychologist associate ... $27.55 per hour;

  (4) Other psychologist associate ... $27.55 per hour.

B. Occupational Therapy. The Department shall reimburse an occupational therapist for providing services, as follows:

  (1) To an individual, payable in 15-minute increments, for face-to-face:

    (a) Therapeutic activities ... $11.83 per 15 minutes;

    (b) Self-care, home management training ... $11.83 per 15 minutes;

    (c) Community and work reintegration ... $11.83 per 15 minutes;

    (d) Development of cognitive skills ... $11.83 per 15 minutes;

    (e) Occupational therapy evaluation and re-evaluation ... $15.07 per 15 minutes;

  (2) For each individual, up to a maximum of 10, in a group therapy session of a minimum of 60 minutes ... $18.30.

C. Physician Services. The Department shall reimburse for services rendered to a child, adolescent, or adult, by an appropriately privileged physician or certified registered nurse practitioner — psychiatric only, as follows:

  (1) The patient's primary care physician in an inpatient or partial hospital setting:

    (a) Initial care:

      (i) For a minimum of 30 minutes ... $108.43;

      (ii) For a minimum of 50 minutes ... $147.19;

      (iii) For a minimum of 70 minutes ... $216.47;

    (b) Subsequent care:

      (i) For a minimum of 15 minutes ... $41.71;

      (ii) For a minimum of 25 minutes ... $76.73;

      (iii) For a minimum of 35 minutes ... $110.63;

    (c) Discharge day management:

      (i) For 30 minutes or less ... $77.68;

      (ii) For more than 30 minutes ... $114.63;

    (d) For discharge data submission ... $21.53;

    (e) For individual therapy, in an inpatient setting:

      (i) For 30 minutes ... $43.78;

      (ii) For 45 minutes ... $82.30;

  (2) The patient's primary certified registered nurse practitioner — psychiatric, in an inpatient or partial hospital setting:

    (a) Initial care:

      (i) For a minimum of 30 minutes ... $108.43;

      (ii) For a minimum of 50 minutes ... $147.19;

      (iii) For a minimum of 70 minutes ... $216.47;

    (b) Subsequent care:

      (i) For a minimum of 15 minutes ... $41.71;

      (ii) For a minimum of 25 minutes ... $76.73;

      (iii) For a minimum of 35 minutes ... $110.63;

    (c) Discharge day management:

      (i) For 30 minutes or less ... $77.68;

      (ii) For more than 30 minutes ... $114.63;

    (d) For individual therapy, in an inpatient setting:

      (i) For 30 minutes ... $30.65;

      (ii) For 45 minutes ... $57.61;

  (3) For electroconvulsive therapy, in an inpatient setting:

    (a) Including monitoring ... $98.39;

    (b) Anesthesia ... $98.27;

  (4) A consultant physician, or a consultant certified registered nurse practitioner — psychiatric, in an inpatient or partial hospital setting, initial consult, for a minimum of:

    (a) 20 minutes ... $51.66;

    (b) 40 minutes ... $79.60;

    (c) 55 minutes ... $121.30;

    (d) 80 minutes ... $174.86;

    (e) 110 minutes ... $217.80;

  (5) A consultant physician or a consultant certified registered nurse practitioner — psychiatric, in an outpatient setting:

    (a) For a minimum of 15 minutes ... $51.49;

    (b) For a minimum of 30 minutes ... $96.74;

    (c) For a minimum of 40 minutes ... $131.91;

    (d) For a minimum of 60 minutes ... $194.98;

    (e) For a minimum of 80 minutes ... $237.73;