Optum Maryland Behavioral Health Fee Schedule

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Optum Maryland - Provider Information

(2 days ago) WebOptum Maryland has provided a listing of Mental Health, Substance Use Disorder and other specific levels of care by fee schedules for Providers to use. The ABA Fee Schedule can be viewed on the Autism Providers Information page, here. State Fiscal Year 2024 …

https://maryland.optum.com/content/ops-maryland/maryland/en/bh-providers/info.html

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New Fee Schedules for Behavioral Health and Applied …

(2 days ago) WebOptum Maryland is implementing the 8% rate updates for Behavioral Health and Applied Behavior Analysis (ABA) providers for dates of service January 1, 2024, and forward. Please note: E&M codes, laboratories, and J & Q codes will not receive the 8% increase. The new fee schedules are posted to the Optum Maryland website, and …

https://maryland.optum.com/content/dam/ops-maryland/documents/provider/Alerts/december-2023/RateIncrease%20Eff._1.1.24.pdf

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PROVIDER ALERT - Optum

(9 days ago) WebNew Fee Schedules for Behavioral Health and ABA providers Effective July 1, 2022 June 14, 2022 Target Audience: All Behavioral Health Providers Optum Maryland is implementing the 7.25% rate updates for behavioral health and ABA providers for dates of service July 1, 2022.

https://maryland.optum.com/content/dam/ops-maryland/documents/provider/Alerts/june-2022/New%20Fee%20Schedules%20FY%202023%20-%206.13.22.pdf

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PBHS FY2022 Fee Schedule Effective 01012022 rev.

(1 days ago) WebTitle: PBHS FY2022 Fee Schedule Effective 01012022 rev. 2.3.2022.xlsx - MH - Individual and OMHC.pdf Author: rkrag Created Date: 2/25/2022 12:58:46 PM

https://marylandbehavioralhealth.optum.com/content/dam/ops-maryland/documents/provider/information/pbhs/fee-schedules-eff-1-1-22/PBHS%20FY2022%20-%20MH%20Individual%20and%20OMHC.pdf

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FY 22 - ABA Fee Schedule ( Effective 01/01/2022)

(6 days ago) WebFY 22 - ABA Fee Schedule ( Effective 01/01/2022) CPT Code Description Provider Rate Time Daily Max Limitations 97151 Behavior identification assessment Psychologist/ BCBA-D/BCBA $31.20 15 minutes 32 units 97152 Behavior identification supporting assessment BCaBA/RBT $15.60 15 minutes 32 units H2012 Adaptive behavior treatment planning

https://marylandbehavioralhealth.optum.com/content/dam/ops-maryland/documents/provider/information/pbhs/fee-schedules-eff-1-1-22/PBHS%20FY2022%20-%20ABA.pdf

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ABA Fee Schedule (Effective July 1, 2020)

(7 days ago) WebABA Fee Schedule (Effective July 1, 2020) CPT D Code escription Provider Rate Time Daily Max Limitations identific. 97151. Behavior ation assessment : Psychologist/ BCBA-D/BCBA : $28.60. 15 minutes. 32 units : identific. 97152. Behavior ation supporting assessment . BCaBA/RBT : $14.30 . 15 minutes. 32 units : H2012

https://marylandbehavioralhealth.optum.com/content/dam/ops-maryland/documents/provider/information/pbhs/ABA%20Fee%20Schedule%207.1.20.pdf

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PROVIDER ALERT - Optum

(3 days ago) WebPBHS SUD Fee Schedule (Eff-01-01-22) Health Homes Fee Schedule (Eff -01-01-22) ABA Fee Schedule FY2022 (Eff - 01-01-22) To obtain the updated rate for a service billed at the prior rate, providers may submit a corrected claim to Optum. If providers have concerns regarding the placement changes, please email: …

https://maryland.optum.com/content/dam/ops-maryland/documents/provider/Alerts/march-2022/Updated%20Fee%20Schedules%20eff%201.1.22.pdf

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Maryland PBHS Provider Manual - Optum

(Just Now) Webmaryland.optum.com January 2020 BH2535_12/2019 1.1 Background In accordance with state legislation, the Maryland Department of Health (MDH), Medicaid Office of Health Services, and the Behavioral Health Administration (BHA) implemented a new integrated Public Behavioral Health System (PBHS) in January 1, 2015. The Medicaid Office of

https://marylandbh.optum.com/content/dam/ops-maryland/documents/provider/providermanual/Maryland%20Provider%20Manual.pdf

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PROVIDER ALERT - Maryland Department of Health

(Just Now) Webbehavioral health and long term care provider rate increases pursuant to Maryland Senate Bill 280 (2019) will go into effect January 1, 2021, rather than allowed amount (per the new fee schedule), Optum Maryland will reprocess the claim. No Provider action is necessary. The new fee schedules are listed below, click each item to view the full

https://health.maryland.gov/pophealth/Documents/Local%20Health%20Department%20Billing%20Manual/LHD%20Billing%20Manual%20V26/OPTUM_%20Fee%20Schedule%20update.pdf

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ABA Fee Schedule (Effective Jan 1, 2021)

(9 days ago) WebABA Fee Schedule (Effective Jan 1, 2021) CPT Code Description Provider Rate Time Daily Max Limitations 97151 Behavior identification assessment Psychologist/ BCBA-D/BCBA $29.60 15 minutes 32 units 97152 Behavior identification supporting assessment BCaBA/RBT $14.80 15 minutes 32 units H2012 Adaptive behavior treatment planning …

https://marylandbehavioralhealth.optum.com/content/dam/ops-maryland/documents/provider/information/pbhs/feeschedulesfy2021/ABA%20FY2021%20Fee%20Schedule%20Effective%2001012021.pdf

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PBHS FY2022 Fee Schedule Effective 01012022 rev. 2.25.2022

(4 days ago) WebTitle: PBHS FY2022 Fee Schedule Effective 01012022 rev. 2.25.2022 - SUD Rates.pdf Author: rkrag Created Date: 2/25/2022 1:13:59 PM

https://marylandbehavioralhealth.optum.com/content/dam/ops-maryland/documents/provider/information/pbhs/fee-schedules-eff-1-1-22/PBHS%20FY2022%20-%20SUD%20Rates.pdf

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Maryland Medical Assistance Program Applied Behavior …

(3 days ago) WebAssistance fee-for-service program through Optum Maryland. Regulatory Authority This manual derives its legal authority from the following Code of Maryland Regulations (COMAR). Governing COMAR Regulations Title 10.09.28 Applied Behavioral Analysis Services 10.09.36 General Medical Assistance Provider Participation Criteria

https://health.maryland.gov/mmcp/epsdt/ABA/Documents/ABA%20Provider%20Manual%2011%201%2021.pdf?csf=1&e=Q1d1kb

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Maryland Medical Assistance Program Applied Behavior …

(4 days ago) WebABA Fee Schedule (Effective July 1, 2022) 10 2 AB A Provi de r Ma nua l – J ul y 2022. Assistance fee-for-service program through its Behavioral Health Administrative Service Organization (BHASO), Optum Maryland. //eprep.health.maryland.gov/ . ePREP is the one-stop shop for provider enrollment, re-enrollment, revalidation, information

https://marylandbh.optum.com/content/dam/ops-maryland/documents/provider/providermanual/ABA%20Provider%20Manual%207.1.22.pdf

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Optum Maryland - Provider Alerts

(Just Now) Web03-09-22: New Fee Schedules for Behavioral Health Providers Effective January 1, 2022; 03-09-22: The BHA/MedChi Webinar Series presents: Sleep Better by Dealing With Rumination; 07-01-21: Optum Maryland Office Closure – Independence Day; June 2021 . 06-28-21: July 2021 Provider Training Calendar;

https://mdbh.optum.com/content/ops-maryland/maryland/en/bh-providers/alerts.html

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PROVIDER ALERT - mdbh.optum.com

(2 days ago) WebBEHAVIORAL HEALTH FEE SCHEDULE MAY 9, 2019 The Behavioral Health Fee Schedule has been updated for recent Procedure Code and Rate updates. The updates are highlighted in yellow. The fee schedule has also been separated into two tabs. The first tab reflects the Individual Practitioner Rates and the OMHC Rates.

https://mdbh.optum.com/content/dam/ops-maryland/documents/archive/provider-alerts/2019/Provider-Alert-05-09-19-Update-Behavioral-Health-Fee-Schedule.pdf

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Optum Maryland - Services

(9 days ago) WebDuring Business Hours: Monday - Friday, 8:00 AM - 6:00 PM EST (Crisis line available 24/7) Participant Questions and Help to Find a Provider Call Toll-Free:

https://marylandbehavioralhealth.optum.com/content/ops-maryland/maryland/en/services.html

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Optum Maryland - About Us

(5 days ago) WebOptum Maryland is: A partnership between the Maryland Department of Health (MDH) and Optum to improve and advance your behavioral health services. An Administrative Services Organization (ASO) created to help MDH make the best use of limited resources to serve persons in need of behavioral health assistance. Committed to making it easier …

https://marylandbh.optum.com/content/ops-maryland/maryland/en/about-us.html

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Optum Reimbursement Policies - Provider Express

(5 days ago) WebOptum Reimbursement Policies. Add-on Codes - Anniversary review approved 5-22-23. After Hours and Weekend Care - Anniversary review approved 4-3-24. Autism/Applied Behavior Analysis (ABA) Reimbursement Policy – Anniversary Review approved 11-20-23. Behavioral Health Services Documentation - Anniversary review approved 3-27-23.

https://www.providerexpress.com/content/ope-provexpr/us/en/clinical-resources/guidelines-policies/reimbursement-policies.html

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Maryland Department of Health 10.21.25 Fee Schedule — Mental …

(3 days ago) WebAn official website of the State of Maryland. Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to [email protected], or fax to 410-767-6483.

https://health.maryland.gov/regs/Pages/10-21-25-Fee-Schedule-%E2%80%94-Mental-Health-Services-%E2%80%94-Community-Based-Programs-and-Individual-Practitioners-(BEHAVIORAL-HEALTH-A.aspx

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