1. A. Request for payment of services shall be submitted in accordance with COMAR 10.09.36.04.
2. B. Billing time limitations for claims submitted pursuant to this chapter as set forth in COMAR 10.09.36.06.

3. C. Reimbursement for services covered under this chapter is as follows:

   1. (1) For dates of service from November 1, 2021 through June 30, 2022:

      1. (a) Initial therapeutic assessment and reassessment at a rate of $136.12; and

      2. (b) Therapeutic behavioral services at a rate of:

         1. (i) $29.50 for the first 30 minutes; and
         2. (ii) $14.75 for each additional 15 minutes.

   2. (2) Effective July 1, 2022:

      1. (a) Initial therapeutic assessment and reassessment at a rate of $145.99; and

      2. (b) Therapeutic behavioral services at a rate of:

         1. (i) $31.64 for the first 30 minutes; and
         2. (ii) $15.82 for each additional 15 minutes.

Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

Effective date: November 24, 2005 (32:23 Md. R. 1827)

Regulation .01B amended effective May 2, 2011 (38:9 Md. R. 552); December 12, 2022 (49:25 Md. R. 1050)

Regulation .02A amended effective February 15, 2016 (43:3 Md. R. 273); December 12, 2022 (49:25 Md. R. 1050)

Regulation .03B amended effective December 12, 2022 (49:25 Md. R. 1050)

Regulation .04 amended effective December 12, 2022 (49:25 Md. R. 1050)

Regulation .04D amended effective July 4, 2016 (43:13 Md. R. 712)

Regulation .06C amended effective February 15, 2016 (43:3 Md. R. 273); December 12, 2022 (49:25 Md. R. 1050); August 21, 2023 (50:16 Md. R. 726)