1. A. Diagnostic Interview. The Department shall reimburse a provider for a face-to-face diagnostic interview, as follows:

   1. (1) For a child or adolescent, when rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

      1. (a) OMHC ... $190.23;
      2. (b) Physician ... $151.68;
      3. (c) Psychologist ... $121.08;
      4. (d) Other mental health professionals ... $106.01;

   2. (2) For an adult:

      1. (a) OMHC ... $170.32;
      2. (b) Physician ... $151.68;
      3. (c) Psychologist ... $121.08;
      4. (d) Other mental health professional ... $106.01.

2. B. Individual Therapy. The Department shall reimburse a provider for an individual therapy session, as follows:

   1. (1) For a child or adolescent, when rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

      1. (a) For 30 minutes:

         1. (i) OMHC ... $59.19;
         2. (ii) Physician ... $50.05;
         3. (iii) Psychologist ... $40.09;
         4. (iv) Other mental health professional ... $34.98;

      2. (b) For 20 — 30 minutes, with biofeedback training:

         1. (i) OMHC ... $50.05;
         2. (ii) Physician ... $50.05;
         3. (iii) Psychologist ... $40.09;
         4. (iv) Other mental health professional ... $34.98;

      3. (c) For 45 minutes:

         1. (i) OMHC ... $105.20;
         2. (ii) Physician ... $90.94;
         3. (iii) Psychologist ... $72.65;
         4. (iv) Other mental health professional ... $63.77;

      4. (d) For 45 — 50 minutes, with biofeedback training:

         1. (i) OMHC ... $90.94;
         2. (ii) Physician ... $90.94;
         3. (iii) Psychologist ... $72.65;
         4. (iv) Other mental health professional ... $63.77;
      5. (e) For 60 minutes in an OMHC ... $105.20;

   2. (2) For an adult:

      1. (a) For 30 minutes:

         1. (i) OMHC ... $50.05;
         2. (ii) Physician ... $50.05;
         3. (iii) Psychologist ... $40.09;
         4. (iv) Other mental health professional ... $34.98;

      2. (b) For 20 — 30 minutes, with biofeedback training:

         1. (i) OMHC ... $50.05;
         2. (ii) Physician ... $50.05;
         3. (iii) Psychologist ... $40.09;
         4. (iv) Other mental health professional ... $34.98;

      3. (c) For 45 minutes:

         1. (i) OMHC ... $90.94;
         2. (ii) Physician ... $90.94;
         3. (iii) Psychologist ... $72.65;
         4. (iv) Other mental health professional ... $63.77;

      4. (d) For 45 — 50 minutes, with biofeedback training:

         1. (i) OMHC ... $90.94;
         2. (ii) Physician ... $90.94;
         3. (iii) Psychologist ... $72.65;
         4. (iv) Other mental health professional ... $63.77;
      5. (e) For 60 minutes in an OMHC ... $90.94.

3. C. Family Therapy. The Department shall reimburse a provider for a family therapy session, as follows:

   1. (1) When the identified patient is a child or adolescent and the service is rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

      1. (a) Without the identified patient:

         1. (i) OMHC ... $104.13;
         2. (ii) Physician ... $85.02;
         3. (iii) Psychologist ... $69.96;
         4. (iv) Other mental health professional ... $53.81;

      2. (b) With the identified patient, for 20 — 30 minutes:

         1. (i) OMHC ... $58.65;
         2. (ii) Physician ... $58.65;
         3. (iii) Psychologist ... $46.82;
         4. (iv) Other mental health professional ... $41.17;

      3. (c) With the identified patient, for 45 — 60 minutes:

         1. (i) OMHC ... $107.62;
         2. (ii) Physician ... $94.71;
         3. (iii) Psychologist ... $76.41;
         4. (iv) Other mental health professional ... $65.64;

   2. (2) When the identified patient is an adult:

      1. (a) Without the identified patient for 45 — 60:

         1. (i) OMHC ... $90.14;
         2. (ii) Physician ... $85.02;
         3. (iii) Psychologist ... $69.96;
         4. (iv) Other mental health professional ... $53.81;

      2. (b) With the identified patient, for 45 — 60 minutes:

         1. (i) OMHC ... $94.71;
         2. (ii) Physician ... $94.71;
         3. (iii) Psychologist ... $76.41;
         4. (iv) Other mental health professional ... $65.64.

4. D. Group Therapy. The Department shall reimburse a provider for each individual, up to a maximum of 10, in a group therapy session as follows:

   1. (1) When the identified patient is a child or adolescent and the service is rendered by a provider with demonstrated competency to provide mental health services to children or adolescents:

      1. (a) For 45 — 60 minutes:

         1. (i) OMHC ... $40.90;
         2. (ii) Physician ... $24.75;
         3. (iii) Psychologist ... $24.75;
         4. (iv) Other mental health professional ... $24.75;
      2. (b) For more than 75 minutes in an OMHC ... $50.58;

   2. (2) When the identified patient is an adult:

      1. (a) For 45 — 60 minutes:

         1. (i) OMHC ... $38.74;
         2. (ii) Physician ... $24.75;
         3. (iii) Psychologist ... $24.75;
         4. (iv) Other mental health professional ... $24.75;
      2. (b) For more than 75 minutes in an OMHC ... $50.58.

Authority: Health-General Article, §§10-901, 15-103, and 15-105; Title 16, Subtitles 1 and 2; Annotated Code of Maryland

Effective date:

Regulations .01 — .08 adopted as an emergency provision effective July 1, 1997 (24:18 Md. R. 1293); adopted permanently effective October 20, 1997 (24:21 Md. R. 1449)

Chapter revised as an emergency provision effective July 1, 1998 (25:14 Md. R. 1123)

Chapter revised effective October 1, 1998 (25:18 Md. R. 1435 and 25:19 Md. R. 1506)

Chapter revised as an emergency provision effective March 1, 2000 (27:4 Md. R. 451); revised permanently effective June 26, 2000 (27:12 Md. R. 1139)

Regulation .01D amended as an emergency provision effective July 1, 2002 (29:24 Md. R. 1915); amended permanently effective December 23, 2002 (29:25 Md. R. 1982)

Regulation .02B amended as an emergency provision effective July 1, 2002 (29:24 Md. R. 1915); amended permanently effective December 23, 2002 (29:25 Md. R. 1982)

Regulation .02B amended as an emergency provision effective July 1, 2003 (30:17 Md. R. 1202); amended permanently effective October 27, 2003 (30:21 Md. R. 1529)

Regulation .04A, B amended as an emergency provision effective July 1, 2002 (29:24 Md. R. 1915); amended permanently effective December 23, 2002 (29:25 Md. R. 1982)

Regulation .05A, D amended as an emergency provision effective July 1, 2002 (29:24 Md. R. 1915); amended permanently effective December 23, 2002 (29:25 Md. R. 1982)

Regulation .06A amended as an emergency provision effective July 1, 2002 (29:24 Md. R. 1915); amended permanently effective December 23, 2002 (29:25 Md. R. 1982)

Regulation .09A, B amended as an emergency provision effective July 1, 2002 (29:24 Md. R. 1915); amended permanently effective December 23, 2002 (29:25 Md. R. 1982)

Regulation .10A, D amended as an emergency provision effective July 1, 2002 (29:24 Md. R. 1915); amended permanently effective December 23, 2002 (29:25 Md. R. 1982)

Regulation .11A amended as an emergency provision effective July 1, 2002 (29:24 Md. R. 1915); amended permanently effective December 23, 2002 (29:25 Md. R. 1982)

Regulation .14 adopted as an emergency provision effective July 1, 2003 (30:17 Md. R. 1202); adopted permanently effective October 27, 2003 (30:21 Md. R. 1529)

Chapter revised as an emergency provision effective February 1, 2004 (31:5 Md. R. 446); revised permanently effective June 7, 2004 (31:11 Md. R. 857)

Regulation .08B amended effective December 19, 2005 (32:25 Md. R. 1942)

Regulation .08H adopted effective December 19, 2005 (32:25 Md. R. 1942)

Chapter revised as an emergency provision effective July 1, 2006 (33:15 Md. R. 1274); emergency status extended at 34:4 Md. R. 397; revised permanently effective February 26, 2007 (34:4 Md. R. 400)

Regulations .02, .03, and .05 — .10 amended as an emergency provision effective July 1, 2008 (35:21 Md. R. 1822)

Regulations .02, .03, and .05 — .10 amended as an emergency provision effective December 22, 2008 (36:2 Md. R. 97); amended permanently effective March 23, 2009 (36:6 Md. R. 491)

Regulation .03 amended effective January 2, 2017 (43:26 Md. R. 1445)

Regulation .03B amended effective January 7, 2013 (39:26 Md. R. 1664); February 3, 2014 (41:2 Md. R. 91)

Regulation .03-1 adopted as an emergency provision effective December 22, 2008 (36:2 Md. R. 97); adopted permanently effective March 23, 2009 (36:6 Md. R. 491)

Regulation .03-1 amended effective June 27, 2011 (38:13 Md. R. 755)

Regulation .03-2 adopted as an emergency provision effective December 22, 2008 (36:2 Md. R. 97); emergency status expired June 19, 2009

Regulation .03-2 amended effective January 7, 2013 (39:26 Md. R. 1664); February 3, 2014 (41:2 Md. R. 91)

Regulations .05 — .11 amended as an emergency provision effective July 1, 2007 (34:17 Md. R. 1506); amended permanently effective October 8, 2007 (34:20 Md. R. 1739)

Regulation .05 — .11 amended effective January 7, 2013 (39:26 Md. R. 1664); February 3, 2014 (41:2 Md. R. 91)

Regulation .08 amended effective June 27, 2011 (38:13 Md. R. 755)

Regulation .08C amended effective January 2, 2017 (43:26 Md. R. 1445)

Regulation .09I adopted as an emergency provision effective October 20, 2009 (36:24 Md. R. 1855); adopted permanently effective February 8, 2010 (37:3 Md. R. 176)

Regulation .09I amended effective June 27, 2011 (38:13 Md. R. 755); December 11, 2014 (41:24 Md. R. 1427)

Regulation .09J adopted effective December 11, 2014 (41:24 Md. R. 1427)

Regulation .11 amended effective February 3, 2014 (41:2 Md. R. 91)

Regulation .12 adopted effective February 3, 2014 (41:2 Md. R. 91)

Regulation .13 adopted effective February 3, 2014 (41:2 Md. R. 91)