<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.21.25.12" title_num="10" subtitle_num="21" chapter_num="25" heading="Evaluation and Management Services — Including Medication Management.">
  <paragraph num="A.">
    <text>New Patients. The Department shall reimburse for evaluation and management services for new patients, including medication management:</text>
    <paragraph num="(1)">
      <text>For a problem focused history, or a problem focused examination, and straightforward medical decision making of minor complexity:</text>
      <paragraph num="(a)">
        <text>OMHC ... $48.70;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $48.70;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified registered nurse practitioner — psychiatric ... $48.70;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>For an expanded problem focused history, or an expanded problem focused examination, and straightforward medical decision making:</text>
      <paragraph num="(a)">
        <text>OMHC ... $82.48;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $82.48;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified registered nurse practitioner — psychiatric ... $82.48;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>For a detailed history, or a detailed examination, and medical decision of low complexity:</text>
      <paragraph num="(a)">
        <text>OMHC ... $119.25;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $119.25;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified registered nurse practitioner — psychiatric ... $119.25;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>For a comprehensive history, or a comprehensive medical examination, with medical decision making of moderate complexity:</text>
      <paragraph num="(a)">
        <text>OMHC ... $181.64;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $181.64;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified registered nurse practitioner — psychiatric ... $181.64;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>For a comprehensive history, or a comprehensive medical examination, with medical decision making of high complexity:</text>
      <paragraph num="(a)">
        <text>OMHC ... $224.53;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $224.53;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified registered nurse practitioner — psychiatric ... $224.53.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Established Patients.  The Department shall reimburse for evaluation and management services for established patients, including medication management:</text>
    <paragraph num="(1)">
      <text>For a history, or examination, where presenting problems are minimal, and straightforward medical decision making of minor complexity:</text>
      <paragraph num="(a)">
        <text>OMHC ... $22.72;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $22.72;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified registered nurse practitioner — psychiatric ... $22.72;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>For a problem focused history, or a problem focused examination, and straightforward medical decision making:</text>
      <paragraph num="(a)">
        <text>OMHC ... $48.70;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $48.70;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified registered nurse practitioner — psychiatric ... $48.70;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>For an expanded history, or an expanded examination, and medical decision of low complexity:</text>
      <paragraph num="(a)">
        <text>OMHC ... $80.11;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $80.11;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified registered nurse practitioner — psychiatric ... $80.11;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>For a detailed history, or a detailed medical examination, with medical decision making of moderate complexity:</text>
      <paragraph num="(a)">
        <text>OMHC ... $117.60;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $117.60;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified registered nurse practitioner — psychiatric ... $117.60;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>For a comprehensive history, or a comprehensive medical examination, with medical decision making of high complexity:</text>
      <paragraph num="(a)">
        <text>OMHC ... $157.64;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physician ... $157.64;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified registered nurse practitioner — psychiatric ... $157.64.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>