• English

    Google Translate Disclaimer

    The Maryland Department of Information Technology (“DoIT”) offers translations of the content through Google Translate. Because Google Translate is an external website, DoIT does not control the quality or accuracy of translated content. All DoIT content is filtered through Google Translate which may result in unexpected and unpredictable degradation of portions of text, images and the general appearance on translated pages. Google Translate may maintain unique privacy and use policies. These policies are not controlled by DoIT and are not associated with DoIT’s privacy and use policies. After selecting a translation option, users will be notified that they are leaving DoIT’s website. Users should consult the original English content on DoIT’s website if there are any questions about the translated content.

    DoIT uses Google Translate to provide language translations of its content. Google Translate is a free, automated service that relies on data and technology to provide its translations. The Google Translate feature is provided for informational purposes only. Translations cannot be guaranteed as exact or without the inclusion of incorrect or inappropriate language. Google Translate is a third-party service and site users will be leaving DoIT to utilize translated content. As such, DoIT does not guarantee and does not accept responsibility for, the accuracy, reliability, or performance of this service nor the limitations provided by this service, such as the inability to translate specific files like PDFs and graphics (e.g. .jpgs, .gifs, etc.).

    DoIT provides Google Translate as an online tool for its users, but DoIT does not directly endorse the website or imply that it is the only solution available to users. All site visitors may choose to use alternate tools for their translation needs. Any individuals or parties that use DoIT content in translated form, whether by Google Translate or by any other translation services, do so at their own risk. DoIT is not liable for any loss or damages arising out of, or issues related to, the use of or reliance on translated content. DoIT assumes no liability for any site visitor’s activities in connection with use of the Google Translate functionality or content.

    The Google Translate service is a means by which DoIT offers translations of content and is meant solely for the convenience of non-English speaking users of the website. The translated content is provided directly and dynamically by Google; DoIT has no direct control over the translated content as it appears using this tool. Therefore, in all contexts, the English content, as directly provided by DoIT is to be held authoritative.

    Maryland Register
    Issue Date:  October 13, 2017
    Volume 44 • Issue 21 • Pages 1003—1004
    Title 10
    10.09.80 Community-based Substance Use Disorder Services
    Authority: Health-General Article, §§2-104(b), 8-204(c)(1), 15-103(a)(1), and 15-105(b), Annotated Code of Maryland
    Notice of Proposed Action
    The Secretary of Health proposes to amend Regulation .08 under COMAR 10.09.80 Community-based Substance Use Disorder Services.
    Statement of Purpose
    The purpose of this action is to update the listed rates for community-based substance use disorder (SUD) services by 2 percent effective July 1, 2017. The fiscal 2018 State budget, approved under S.B. 170, 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 community-based SUD services. The State general funds impact is expected to be $814,890 for State fiscal year 2018. The federal funds impact is expected to be $2,375,148. The total funds impact is expected to be $3,190,038.
    Revenue (R+/R-)
    II. Types of Economic Impact.

    A. On issuing agency:
    B. On other State agencies:
    C. On local governments:
    Benefit (+)
    Cost (-)

    D. On regulated industries or trade groups:
    E. On other industries or trade groups:
    F. Direct and indirect effects on public:
    III. Assumptions. (Identified by Impact Letter and Number from Section II.)
    A. and D. Estimated fiscal impacts are based on calendar year 2016 utilization. The estimate of impact on the issuing agency is the sum of the general funds impact of $814,890 and the federal funds impact of $2,375,148, totaling $3,190,038.
    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 community-based substance use disorder (SUD) treatment providers who are enrolled with Maryland Medicaid and provide services to Medicaid enrolled participants. Community-based SUD providers will receive Medicaid reimbursement rates that are increased by 2 percent for all services billed through H codes listed on the public substance use disorder fee schedule and listed in COMAR
    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 13, 2017. A public hearing has not been scheduled.
    .08 Payment Procedures.
    A.—C. (text unchanged)
    D. Effective July 1, [2016] 2017, rates for the services outlined in this regulation shall be as follows:
    (1) For services outlined in this regulation, as delivered through an OHCQ certified or licensed substance use disorder treatment provider:
    (a) Comprehensive substance use disorder assessment — [$144.82] $147.74;
    (b) Level 1 group substance use disorder counseling — [$39.78] $40.58 per session;
    (c) Level 1 individual substance use disorder counseling — [$20.40] $20.81 per 15-minute increment with a maximum of six 15-minute increments per day;
    (d) Level 2.1 Intensive Outpatient treatment — [$127.50] $130.05 per diem;
    (e) Level 2.5 Partial Hospitalization half day session — [$132.60] $135.25 per diem;
    (f) Level 2.5 Partial Hospitalization full day session — [$214.20] $218.48 per diem;
    (g) Ambulatory Withdrawal Management — [$71.40] $72.83 per diem;
    (h)—(i) (text unchanged)
    (2) For services outlined in this regulation as delivered through an opioid treatment programs:
    (a) Comprehensive substance use disorder assessment — [$144.84] $147.74;
    (b) Level 1 group substance use disorder counseling — [$39.78] $40.58 per session;
    (c) Level 1 individual substance use disorder counseling — [$20.40] $20.81 per 15-minute increment with a maximum of six 15-minute increments per day;
    (d) Opioid Maintenance Therapy — [$63.00] $64.26 per participant per week;
    (e) Medication Assisted Treatment Induction — [$204] $208.08 per participant per week;
    (f) Buprenorphine Maintenance Therapy — [$56.00] $57.12 per participant per week; and
    (g) (text unchanged)
    E.—F. (text unchanged)
    Secretary of Health