PROPOSAL
Maryland Register
Issue Date:  October 27, 2017
Volume 44• Issue 22 • Pages 1044—1045
 
Title 10
MARYLAND DEPARTMENT OF HEALTH
Subtitle 09 MEDICAL CARE PROGRAMS
10.09.89 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families
Authority: Health-General Article, §§2-104(b), Annotated Code of Maryland
Notice of Proposed Action
[17-262-P]
The Secretary of Health proposes to amend Regulations .10—.14 under COMAR 10.09.89 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families.
Statement of Purpose
The purpose of this action is to update the listed rates for 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families by 2 percent effective July 1, 2017. The fiscal 2018 State budget, approved under Senate Bill 170, Budget Bill (Fiscal Year 2018), Ch. 150, Acts of 2017, includes a 2 percent rate increase for community behavioral health providers.
Comparison to Federal Standards
There is no corresponding federal standard to this proposed action.
Estimate of Economic Impact
I. Summary of Economic Impact. This proposed action will result in the increase of the rates for 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families services. The State general funds impact is expected to be $45,616 for State fiscal year 2018. The federal funds impact is expected to be $45,616. The total funds impact is expected to be $91,232.
 
 
Revenue (R+/R-)
 
II. Types of Economic Impact.
Expenditure
(E+/E-)
Magnitude
 

 
A. On issuing agency:
(E+)
$91,232
B. On other State agencies:
NONE
C. On local governments:
NONE
 
 
Benefit (+)
Cost (-)
Magnitude
 

 
D. On regulated industries or trade groups:
(+)
$91,232
E. On other industries or trade groups:
NONE
F. Direct and indirect effects on public:
NONE
III. Assumptions. (Identified by Impact Letter and Number from Section II.)
A. and D. Estimated fiscal impacts are based on State Plan estimates of 200 children. The 1915(i) program is still in early implementation with currently only around 40 children enrolled. Actual fiscal impacts will be dependent on actual enrollment and service utilization during fiscal year 2018.
Economic Impact on Small Businesses
The proposed action has a meaningful economic impact on small business. An analysis of this economic impact follows.
Small businesses that could be impacted by this proposal include 1915(i) providers enrolled with Medicaid and offering family peer support, community-based and out-of-home respite, expressive and experiential behavioral services, mobile crisis response, and intensive in-home services. 1915(i) providers will receive Medicaid reimbursement rates that are increased by 2 percent for all 1915(i) services.
Impact on Individuals with Disabilities
The proposed action has no impact on individuals with disabilities.
Opportunity for Public Comment
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 mdh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through November 27, 2017. A public hearing has not been scheduled.
.10 Covered Services — Family Peer Support Services.
Family peer support services:
A.—E. (text unchanged)
F. Effective [July 1, 2016] July 1, 2017, are reimbursed at the following rates:
(1) [$16.29] $16.62 per 15 minute unit for face-to-face services; or
(2) [$8.14] $8.30 per 15 minute unit for telephonic or other non- face-to-face activities.
.11 Covered Services — Respite Services.
Respite services:
A.—D. (text unchanged)
E. Effective [July 1, 2016] July 1, 2017, are reimbursed at the following rates:
(1) [$25.66] $26.18 per one hour unit of service for community-based respite services; or
(2) [$203.43] $207.50 per unit of out-of-home respite care.
.12 Covered Services — Expressive and Experiential Behavioral Services.
A.—B. (text unchanged)
C. Reimbursement. Effective [July 1, 2016] July 1, 2017, reimbursement for services described in this regulation shall be as follows:
(1) For individual therapy provided by a:
(a) Licensed mental health professional at a rate of:
(i) [$69.78] $71.17 per 45—50 minute session; or
(ii) [$91.41] $93.24 per 75—80 minute session;
(b) Non-licensed mental health professional at a rate of:
(i) [$63.43] $64.70 per 45-minute session; or
(ii) [$82.47] $84.12 per 75—80 minute session; and
(2) For group therapy provided by a:
(a) Licensed mental health professional at a rate of:
(i) [$27.74] $28.30 per 45—60 minute session; or
(ii) [$36.07] $36.79 per prolonged (75—90 minute) session;
(b) Non-licensed mental health professional at a rate of:
(i) [$24.64] $25.14 per 45—60 minute session; or
(ii) [$32.04] $32.68 per prolonged (75—90 minute) session.
.13 Covered Services — Mobile Crisis Response Services.
A.—C. (text unchanged)
D. Effective [July 1, 2016] July 1, 2017, MCRS are reimbursed at the following rates:
(1) [$26.13] $26.66 per 15 minute unit of service for crisis response or stabilization; and
(2) [$313.54] $319.81 per assessment.
.14 Covered Services — Intensive In-Home Services.
A.—E. (text unchanged)
F. Effective [July 1, 2016] July 1. 2017, reimbursement for IIHS services shall be provided at the rate of:
(1) [$253.88] $258.96 per week of service for EBP-IIHS providers; or
(2) [$201.42] $205.45 per week of service for non-EBP IIHS providers.
DENNIS SCHRADER
Secretary of Health