Maryland Behavioral Health Billing Services is complex—and so is the world of behavioral health care that supports it. In Maryland, providers offering services like ABA therapy, substance use treatment, mental health counseling, and case management face strict requirements from payers, especially when working with Medicaid and managed care organizations.
At Taylor Prime Solutions, we specialize in Maryland behavioral health billing services designed to meet the needs of clinics, group practices, and solo providers. Whether you’re treating autism, supporting patients through recovery, or managing co-occurring disorders, our billing team ensures your claims are clean, compliant, and paid on time.
What Is Behavioral Health?
Behavioral health is a broad category that includes both mental health and any service that addresses the way a person’s behaviors impact their physical and emotional well-being.
Think:
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How a person thinks, acts, copes, or uses substances
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How behavior is shaped through therapy, support, and intervention
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How environment and trauma impact a person’s development or daily life
Behavioral health goes beyond talk therapy. It includes services for:
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Autism (ABA therapy)
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Substance Use Disorder (SUD)
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ADHD
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Eating disorders
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Crisis stabilization
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Family and community-based interventions
Common Services Covered Under Maryland Behavioral Health Billing Services
Here are some of the most frequently billed services our team handles for behavioral health providers across Maryland:
| Service | Examples |
|---|---|
| ✅ ABA Therapy | Behavior identification assessments, skill acquisition, parent training |
| ✅ Substance Use Treatment | IOP (H0015), counseling (H0004), assessments (H0001), MAT |
| ✅ Mental Health Counseling | Individual therapy (90834), family therapy (90847), evaluations (90791) |
| ✅ Behavioral Interventions | Applied behavioral strategies, skill development, de-escalation |
| ✅ Crisis Services | Mobile crisis, emergency stabilization, community response |
| ✅ Case Management | Coordination of care (T1016), service planning (H0032) |
Who Uses Behavioral Health Billing Services in Maryland?
Behavioral health care is delivered by a diverse range of professionals. Each role comes with different documentation and billing requirements.
Common Providers:
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BCBAs (Board Certified Behavior Analysts) – Deliver ABA therapy services for autism spectrum disorders
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Addiction Counselors – Licensed to treat individuals with substance use issues
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Psychologists & Therapists – For mental health and co-occurring conditions
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Case Managers – Coordinate services, referrals, and crisis intervention
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Wraparound Teams – Work with youth and families for long-term community support
Behavioral Health Billing vs. Mental Health Billing
While mental health billing often focuses on therapy, evaluations, and psychiatric care, behavioral health billing includes a wider array of services—including addiction recovery, behavioral modification, and in-home support.
Key Differences:
| Feature | Mental Health Billing | Behavioral Health Billing |
|---|---|---|
| Scope | Emotional, psychological care | Broader scope: includes mental health, substance use, autism, ADHD |
| Codes | 90791, 90834, 90847 | H-codes (H0001–H2036), 97151–97158, T-codes |
| Payers | Medicare, Medicaid, commercial | Heavy Medicaid & MCO focus in Maryland |
| Services | Talk therapy, evals | IOP, ABA, MAT, wraparound, case management |
This is why using a billing company that understands behavioral health specifically—not just mental health—is crucial.
Maryland-Specific Challenges in Behavioral Health Billing
Maryland has unique payer requirements that affect behavioral health billing:
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Medicaid and MCOs dominate the behavioral health space
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Service authorization and treatment plan reviews are frequent
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H-codes and T-codes are used for many services
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Per diem vs. unit-based billing varies by payer
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Behavioral health carve-outs (e.g., Optum Maryland) require specific submission formats
At Taylor Prime Solutions, we help providers navigate these state-specific systems while remaining compliant and maximizing collections.
Our Maryland Behavioral Health Billing Services Include:
We offer full-service revenue cycle management tailored to behavioral health clinics and practices.
✅ Claims Submission & Follow-Up
We submit accurate, clean claims for ABA, SUD, mental health, and crisis services—tracking them through every stage of adjudication.
✅ Denial Management & Appeals
Behavioral health services are often denied for lack of documentation, improper coding, or timing errors. We identify the issue and fight for every dollar you’re owed.
✅ Authorization Tracking
We handle initial and ongoing authorizations, re-auth deadlines, and paperwork so services remain approved and billable.
✅ Aged AR Recovery
If you have old claims sitting unpaid, we dig in, rework them, and get them resolved—even if they were billed months ago.
✅ Credentialing & Compliance
We help onboard new providers and keep you credentialed with Maryland Medicaid, Optum, and commercial plans—so there are no gaps in billing.
✅ Custom Reporting
Understand your payer mix, top denial reasons, and monthly revenue with reports built for behavioral health clinics.
Common CPT & HCPCS Codes in Behavioral Health Billing
Our team is fluent in the codes that matter most:
| Category | Codes |
|---|---|
| ABA Therapy | 97151, 97153, 97155, 0362T |
| SUD Services | H0001, H0004, H0015, H2036, H0032 |
| Mental Health | 90791, 90834, 90847, 96127 |
| Case Management | T1016 |
| Crisis Services | S9484, H2011, H0031 |
Knowing when and how to use these codes—along with necessary modifiers and documentation—is key to fast, full reimbursement.
Why Choose Taylor Prime for Maryland Behavioral Health Billing Services?
We’re not a generalist billing firm. We’re a Maryland-based company that:
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✅ Specializes in behavioral health and understands local payer policies
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✅ Works with Medicaid, Medicare, and commercial plans
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✅ Supports solo providers, group practices, and community clinics
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✅ Integrates with EMRs like CentralReach, Kipu, SimplePractice, BestNotes, and more
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✅ Offers HIPAA-compliant billing and credentialed staff (CPC, CMRS)
Whether you’re running a small ABA clinic, a dual-diagnosis recovery program, or a community wraparound team—we’re here to take the billing burden off your plate.
Behavioral Health Billing Doesn’t Have to Be a Headache
Providers in Maryland are doing incredible work across autism care, substance use treatment, mental health, and crisis response. Let us handle the insurance claims while you focus on helping people heal.
📞 Call 844-TAYLOR-9
📩 Schedule a Free Consultation
📖 Or check out our blog on Maryland Mental Health Billing Services →
988 Behavioral & Mental Health Crisis Helpline?
The 988 Suicide & Crisis Lifeline is a national initiative with local implementation. In Maryland, the 988 helpline is operated by the Behavioral Health Administration and connects callers to trained counselors 24/7 for emotional distress, suicidal thoughts, substance use issues, and mental health emergencies.
It is available to anyone in Maryland—patients, providers, families, or friends—via:
📞 Call 988
📱 Text 988
💬 Chat Here
The helpline offers free, confidential, and immediate support, with the ability to dispatch mobile crisis teams or connect individuals to local resources when needed.
