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:
OMHC psychologist ... $99.02 per hour;
Other psychologist ... $99.02 per hour;
OMHC psychologist associate ... $27.55 per hour;
Other psychologist associate ... $27.55 per hour.
Occupational Therapy. The Department shall reimburse an occupational therapist for providing services, as follows:
To an individual, payable in 15-minute increments, for face-to-face:
Therapeutic activities ... $11.83 per 15 minutes;
Self-care, home management training ... $11.83 per 15 minutes;
Community and work reintegration ... $11.83 per 15 minutes;
Development of cognitive skills ... $11.83 per 15 minutes;
Occupational therapy evaluation and re-evaluation ... $15.07 per 15 minutes;
For each individual, up to a maximum of 10, in a group therapy session of a minimum of 60 minutes ... $18.30.
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:
The patient's primary care physician in an inpatient or partial hospital setting:
Initial care:
For a minimum of 30 minutes ... $108.43;
For a minimum of 50 minutes ... $147.19;
For a minimum of 70 minutes ... $216.47;
Subsequent care:
For a minimum of 15 minutes ... $41.71;
For a minimum of 25 minutes ... $76.73;
For a minimum of 35 minutes ... $110.63;
Discharge day management:
For 30 minutes or less ... $77.68;
For more than 30 minutes ... $114.63;
For discharge data submission ... $21.53;
For individual therapy, in an inpatient setting:
For 30 minutes ... $43.78;
For 45 minutes ... $82.30;
The patient's primary certified registered nurse practitioner — psychiatric, in an inpatient or partial hospital setting:
Initial care:
For a minimum of 30 minutes ... $108.43;
For a minimum of 50 minutes ... $147.19;
For a minimum of 70 minutes ... $216.47;
Subsequent care:
For a minimum of 15 minutes ... $41.71;
For a minimum of 25 minutes ... $76.73;
For a minimum of 35 minutes ... $110.63;
Discharge day management:
For 30 minutes or less ... $77.68;
For more than 30 minutes ... $114.63;
For individual therapy, in an inpatient setting:
For 30 minutes ... $30.65;
For 45 minutes ... $57.61;
For electroconvulsive therapy, in an inpatient setting:
Including monitoring ... $98.39;
Anesthesia ... $98.27;
A consultant physician, or a consultant certified registered nurse practitioner — psychiatric, in an inpatient or partial hospital setting, initial consult, for a minimum of:
20 minutes ... $51.66;
40 minutes ... $79.60;
55 minutes ... $121.30;
80 minutes ... $174.86;
110 minutes ... $217.80;
A consultant physician or a consultant certified registered nurse practitioner — psychiatric, in an outpatient setting:
For a minimum of 15 minutes ... $51.49;
For a minimum of 30 minutes ... $96.74;
For a minimum of 40 minutes ... $131.91;
For a minimum of 60 minutes ... $194.98;
For a minimum of 80 minutes ... $237.73;