<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.21.25.08" title_num="10" subtitle_num="21" chapter_num="25" heading="Fee Schedule — Treatment Services — Programs.">
  <paragraph num="A.">
    <text>Therapeutic Nursery Programs. The Department shall reimburse a program approved under COMAR 10.21.18 to provide therapeutic nursery services to eligible children, younger than 5 years old, at a rate of $42.20 per day, for a minimum of 3 days per week, 3 hours per day.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Mobile Treatment Services. The Department shall reimburse a program for mobile treatment services delivered to an individual:</text>
    <paragraph num="(1)">
      <text>For a minimum of four face-to-face services, and according to a treatment plan that outlines the expected type and frequency of services;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>At the rate of:</text>
      <paragraph num="(a)">
        <text>$839.45 per month; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If the individual is a Medicare recipient, $643.58 per month, if the program has:</text>
        <paragraph num="(i)">
          <text>Delivered services according to the provision of §A(1) of this regulation; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Billed applicable Medicare reimbursed services;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>For enhanced support, when the need for short-term one-to-one support is documented and approved by the Administration or its designee:</text>
      <paragraph num="(a)">
        <text>At the rate of $12.91 per hour;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Up to a maximum of $129.10 per day;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Not to exceed 30 days per calendar year.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>For evidence-based programs, assertive community treatment (ACT), at the rate of:</text>
      <paragraph num="(a)">
        <text>For Medicaid recipients and other individuals meeting eligibility criteria for uninsured, $1,183.34 per month; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If the individual has Medicare only, $1,049.31 per month.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Partial Hospitalization. For programs approved under COMAR 10.21.02 or licensed under COMAR 10.63.03.08, the Department shall reimburse:</text>
    <paragraph num="(1)">
      <text>A non-hospital-based partial hospitalization (psychiatric day treatment) program, for services provided to an eligible Medicaid recipient:</text>
      <paragraph num="(a)">
        <text>For a full day, a minimum of 6.5 hours of therapeutic activities per day ... $203.68 per day;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>For a half day, or intensive, outpatient services, when the services are delivered by a multidisciplinary team, for a minimum of 4 hours of therapeutic activities, including at least two group therapies ... $110.85 per day;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>HSCRC programs that meet the minimum requirements of COMAR 10.21.02, at the rate established by the HSCRC;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>OMHC, for intensive outpatient services provided to a Medicaid recipient in a psychiatric day treatment program:</text>
      <paragraph num="(a)">
        <text>For adults ... $129.69;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>For children and adolescents ... $154.17; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>For physician services, at the rates established under Regulation .06D of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The Department may not reimburse a partial hospitalization program (psychiatric day treatment) or an OMHC intensive outpatient mental health program on the same day that an intensive outpatient program or service is provided for substance abuse treatment.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Residential Crisis Services. The Department shall reimburse a provider for residential crisis services delivered to an individual, as follows:</text>
    <paragraph num="(1)">
      <text>As an alternative to inpatient admission or to shorten the length of inpatient stay:</text>
      <paragraph num="(a)">
        <text>For clinical services ... $252.34 per day;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>For room and board ... $12.59 per day;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Treatment foster care ... $162.25 per day; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>For physician services, at the rates established for services rendered to an individual in an inpatient setting under Regulation .05D of this chapter.</text>
    </paragraph>
  </paragraph>
</regulation>