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Office of Mental Health

Medicaid Reimbursement Rates

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

Assertive Community Treatment (ACT) - Regional Rate - File updated 4/15/21

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)

Clinic

Collaborative Care - Statewide Rate

Continuing Day Treatment (CDT) - Adult - Regional Rates - File updated 4/15/21

Community Residence - Adult - Provider-Specific Rates

Community Residence and Teaching Family Home - Children - Provider-Specific Rates - New rates effective 4/1/2015 to reflect 2% COLA increase

Children’s Case Management - Regional Rates

Comprehensive Psychiatric Emergency Program (CPEP) - Statewide Rates - File updated 4/15/21

Day Treatment Services for Children - Regional Rates - File updated 4/15/21

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 4/15/21

Personalized Recovery Oriented Services (PROS) - Regional Rates - Updated 5/13/21

Private Psychiatric Hospitals - Rates - Updated 2/24/2021

State Operated Community Residence - New Rates Effective 4/1/20

State Operated Inpatient Psychiatric Hospital - Updated 6/25/2020

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

Mobile/Telephonic Crisis Intervention - 9/30/2020

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

Crisis Intervention - Residential - 9/30/2020

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).

 

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