Sec. 10.21.25.07. Fee Schedule — Special OMHC Services  


Latest version.
  • A. Treatment Planning. The Department shall reimburse an OMHC for providing an OMHC-enrolled individual with one face-to-face treatment planning meeting every 6 months, at the rate of $82.87 per planning meeting.

    B. Multifamily Group Therapy. The Department shall reimburse an OMHC for providing multifamily group therapy, with the identified patient, for families of:

    (1) Children and adolescents, for 45-60 minutes, with the child present ... $41.98 per family;

    (2) Children and adolescents, for 20-30 minutes, with the child present ... $38.55 per family;

    (3) Adults, for 45-60 minutes, with the adult present ... $39.83 per family;

    (4) Adults, for 20-30 minutes, with the adult present ... $35.75 per family;

    C. Family Psychoeducation. The Department shall reimburse a provider, when the provider has been approved by the Administration to provide evidence-based services, for a family psychoeducation session with or without the identified adult, at a rate of $53.81 per family.

    D. Prolonged Services. The Department shall reimburse an OMHC for providing, on-site, prolonged services, face-to-face with the identified patient, as follows:

    (1) For 30-74 minutes ... $106.79;

    (2) For an additional period of 30 minutes ... $104.10.

    E. Venipuncture and Injection. The Department shall reimburse an OMHC for providing:

    (1) Routine venipuncture ... $14.94;

    (2) Therapeutic injection ... $14.94.

    F. Intensive Outpatient Services. The Department shall reimburse an OMHC for providing intensive outpatient services, when the services are delivered by a multidisciplinary team for a minimum of 3 hours of therapeutic activities, including needed physician services and at least two group therapies, as follows:

    (1) For children or adolescents ... $154.17 per day;

    (2) For adults ... $129.69 per day.

    G. Discharge Data Submission. The Department shall reimburse an OMHC $21.53 for discharge data submission.