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Office of Mental Health

Medicaid Reimbursement Rates

Approved Medicaid fee-for-service rates for all OMH programs.

American Rescue Plan Act – Rate Increase Summary
Home and Community Based Services (HCBS) rate adjustments due to the COVID-19 Emergency as part of the American Rescue Plan Act of 2021 (ARPA), Section 9817

Assertive Community Treatment (ACT) - Regional Rate - File updated 5/4/2022

Certified Community Behavioral Health Clinics (CCBHC) - File updated 10/25/2019

Children and Family Treatment and Support Services (CFTSS)

Children's Home and Community Based Services (HCBS)

Mental Health Outpatient Treatment and Rehabilitative Services

Collaborative Care - Statewide Rate

Continuing Day Treatment (CDT) - Adult - Regional Rates - File updated 5/4/22

Community Residence - Adult - Provider-Specific Rates - File updated 03/16/2022

Community Residence - Children - Provider-Specific Rates - File updated 03/16/2022

Children’s Case Management - Regional Rates

Comprehensive Psychiatric Emergency Program (CPEP) - Statewide Rates - File updated 5/4/22

Crisis Services: Mobile & Telephonic – Regional Rates - File updated 5/9/2022

Crisis Services: Residential – Regional Rates - File updated 5/9/2022

Crisis Services: Stabilization – Regional Rates - File updated 5/9/2022

Day Treatment Services for Children - Regional Rates - File updated 5/4/22

Federally Qualified Health Center (FQHC) - Provider-Specific Rates

Intensive Psychiatric Rehabilitation Treatment (IPRT) - Statewide Rates - New rates effective 4/1/2015 to reflect 2% COLA increase

Partial Hospitalization - Regional Rates - File updated 5/4/22

Personalized Recovery Oriented Services (PROS) - Regional Rates - Updated 5/4/2022

Private Psychiatric Hospitals - Rates - Updated 3/4/2022

State Operated Community Residence - Updated 4/28/22

State Operated Inpatient Psychiatric Hospital - Updated 8/24/21

Reimbursement Rates only available through Medicaid Managed Care Organizations (MMCOs)

Mobile/Telephonic Crisis Intervention - 5/5/2022

Rate codes are only available through Medicaid Managed Care Organizations (MMCOs) to individuals 21 and older.

Crisis Intervention - Residential - 5/5/2022

Rate codes are only available through Medicaid Managed Care Organizations (MMCOs) to individuals 21 and older.

Health and Recovery Plans (HARP) Behavioral Health Home and Community Based Services (BH HCBS) Fee Schedule – Codes that HARP plans and HIV-SNPs will be using to bill Medicaid for HCBS services that are provided to HARP enrollees (or HIV-SNP enrolled HARP-eligible).

Temporary service rate increases, effective 10/1/21, are part of Section 9817 of the American Rescue Plan Act of 2021 (ARPA).

 

Comments or questions about the information on this page can be directed to Adult Clinic or Children’s Clinic.