Proposed Transition of Outpatient Mental Health Center (OMHC) Services to the Rehabilitation Services Benefit
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This document proposes amending Maryland's Medicaid State Plan to move OMHC services from Clinic Services (42 CFR § 440.90) to the Rehabilitation Services coverage pages (42 CFR § 440.130(d)), affecting Maryland Medicaid OMHC providers and beneficiaries.
OMHC service will be removed from the Clinic Services coverage pages (42 CFR § 440.90) and added to the Rehabilitation Services coverage pages (42 CFR § 440.130(d)).
Coverage Criteria for OMHC Services
OMHC coverage stance
Covered status after the proposed amendment:
Regulatory References and Effective Date
State Plan Amendment Summary and Provider Impact
State Plan amendment: move OMHC from Clinic to Rehabilitation Services
OMHC services will be moved from the Clinic Services coverage pages (42 CFR § 440.90) to the Rehabilitation Services coverage pages (42 CFR § 440.130(d)). There is no change to current coverage or reimbursement; the amendment is budget neutral and intended to better align services with provider and consumer needs.
- Proposed effective date: May 1, 2026
- This change removes OMHC from Clinic Services (42 CFR § 440.90) and adds it to Rehabilitation Services (42 CFR § 440.130(d))
- No impact to current coverage or reimbursement (budget neutral)
Definitions and Reclassification Notes
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