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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 - File Updated 1-9-24
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 02/20/24

Certified Community Behavioral Health Clinics (CCBHC) - File updated 08/11/2023

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 - File updated 1/4/2023

Continuing Day Treatment (CDT) - Adult - Regional Rates - File updated 12/07/23

Community Residence - Adult - Provider-Specific Rates - File updated 12/07/2023

Community Residence - Children - Provider-Specific Rates - File updated 12/07/2023

Community Residence – Eating Disorder Integrated Treatment - Regional Rates

Comprehensive Psychiatric Emergency Program (CPEP) - Statewide Rates - File updated 12/07/23

Coordinated Specialty Care (CSC) - 10/18/23

Crisis Services: Mobile & Telephonic – Regional Rates - File updated 12/07/23

Crisis Services: Residential – Regional Rates - File updated 12/07/23

Crisis Services: Stabilization – Regional Rates - File updated 12/29/23

Day Treatment Services for Children - Regional Rates - File updated 12/07/23

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

Partial Hospitalization - Regional Rates - File updated 12/07/23

Personalized Recovery Oriented Services (PROS) - Regional Rates - Updated 2/02/24

Private Psychiatric Hospitals - Rates - Updated 6/15/2023

State Operated Community Residence - Updated 5/26/23

State Operated Inpatient Psychiatric Hospital - Updated 5/26/23

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

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 MHOTRS or Children’s MHOTRS.