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Office of Mental Health

Office of Mental Health (OMH) Clinic Rates Codes

OMH Clinic Rate Codes

Description Non Hospital* Hospital
Base Rate 1504 1516
Off-site Base Rate (available for select children’s services and crisis-brief for both adults and children.) 1507 1519
Health Services (e.g., Health Monitoring, Health Physicals) 1474 1588
Crisis Intervention 1579 1576
Intensive Outpatient Program (IOP) 1042 1048
Delivery System Reform Incentive Payment (DSRIP) 1106 1110
Integrated Outpatient Services (IOS) 1480 1122
Utilization Threshold Exempt (Court Order / AOT / SIST) 1136 1140

*Non hospital includes Diagnostic & Treatment Center (D&TCs), Local Governmental Unit (LGUs), freestanding Art 31s, and state operated injections may be claimed using either the Health Services rate codes or the Clinic rate codes.

OMH Clinic Rate Codes Exempt from Utilization Threshold Counts

Description Non Hospital* Hospital
Off-site Base Rate (available for select children’s services and crisis-brief for both adults and children.) 1507 1519
Health Services (e.g., Health Monitoring, Health Physicals) 1474 1588
Crisis Intervention 1579 1576
Intensive Outpatient Program (IOP) 1042 1048
Delivery System Reform Incentive Payment (DSRIP) 1106 1110
Integrated Outpatient Services (IOS) 1480 1122
Utilization Threshold Exempt (Court Order / AOT / SIST) 1136 1140

OMH Federally Qualified Health Center (FQHC) Rate Codes

Description Rate Code
Clinic – FQHC 4301
Clinic – FQHC Group 4303
Clinic – FQHC Offsite 4306

Comments or questions about the information on this page can be directed to the Bureau of Financial Planning.