HIPAA compliant, BAA available

Measurement-Based Care for Maryland Mental Health Teams

For primary care practices running collaborative care, outpatient mental health clinics, agencies and private practices from Cumberland to Ocean City. Send the PHQ-9, GAD-7 and other validated scales by email or QR code, score them when they come in, and track each client against the targets your team sets. US customer data stays in Google Cloud US regions.

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HIPAA compliant, BAA available
Data hosted in the US
SOC 2 Type II
Scored on submission
100+
validated assessments
BAA
offered to HIPAA covered entities
US
Google Cloud regions for US data
$25
per month

Maryland Law Puts Rating Scales at the Centre of Collaborative Care

  • In 2023 the General Assembly passed Senate Bill 101 (Chapter 284), which ended Maryland's collaborative care pilot and requires the Maryland Department of Health to implement and pay for the Collaborative Care Model statewide in primary care settings that serve Medicaid participants. The law defines the model to include "regular, proactive outcome monitoring and treatment for outcome targets using standardized outcome measurement rating scales and electronic tools, such as patient tracking", alongside care management and regular psychiatric and substance use caseload reviews.

    Maryland Medicaid extended collaborative care coverage to all participants on 1 October 2023, in HealthChoice managed care and fee-for-service alike, with no prior authorization. Its April 2024 guidance (PT 71-24) limits the service to diagnoses for which a validated tool exists to monitor symptoms and quantify outcomes, such as depression, anxiety and substance use disorders, and says the care team sets measurable benchmarks it expects the client to reach in the next six months. Managed care organizations must pay at least the fee-for-service rate.

    So the scale is the backbone of the service: a baseline score, repeat scores through the month, and a record of whether the client is reaching the target. HiBoop sends the PHQ-9, GAD-7 and other scales by email or QR code, scores them on submission and keeps each client's results on one chart that the care manager and psychiatric consultant can review, with CSV and PDF exports. It does not bill Medicaid or contact the ASO for you.

  • Rating Scales Written Into Law

    Standardized outcome measurement is part of the statutory definition of collaborative care

  • Covered Since October 2023

    For all Medicaid participants, HealthChoice and fee-for-service, with no prior authorization

  • Six-Month Benchmarks

    The care team sets measurable targets the client is expected to reach within six months

All regions

What HiBoop Does for Maryland Care Teams

  • Maryland pays for collaborative care in primary care and for specialty behavioural health through its public system. HiBoop handles sending and scoring the measures, while your team makes the treatment decisions.

  • A Validated Score for Every Enrolled Client

    Collaborative care in Maryland is limited to conditions with a validated tool to track symptoms. Send the PHQ-9 for depression, the GAD-7 for anxiety or the TAPS for substance use at enrolment and have the baseline scored before the care manager calls.

  • Progress Against Your Targets

    Repeat the same scale through the month and each new score lands on the client's chart, so the care manager can see who is moving toward the six-month benchmark. The scores help inform clinical judgement; they do not replace it.

  • Ready for Caseload Review

    Before the psychiatric consultant's review, export score histories as CSV or PDF so the team can focus on clients who are not improving. Every account can be exported in full.

  • Depression, Anxiety and Substance Use Together

    Maryland's guidance names depression, anxiety and substance use disorders among the conditions collaborative care can treat. The PHQ-9, GAD-7, TAPS and ASSIST all sit in one library.

  • For Practices, Health Centres and Clinics

    Team and Network plans give a primary care group, a health centre or a behavioural health agency one account for every clinician and site, with role-based access for each staff member.

  • Scales for Young People

    In Maryland a mature minor aged 12 or older can consent to mental health treatment. For pediatric and adolescent caseloads, HiBoop includes the PHQ-A, the SCARED and the CRAFFT-2.1.

Mental health in Maryland

Research data

  • Each figure below links to the source it comes from.

  • 22.7%

    of Maryland adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 18.3%

    of Marylanders aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 22.5%

    of Maryland adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

  • 15.8%

    of Marylanders aged 12 or older had a substance use disorder in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

Research from Maryland

  • Collaborative care for depression

    In the BRIDGE cluster randomized trial with 27 primary care clinicians and 132 African American patients with major depression in urban community practices in Maryland and Delaware, both standard and patient-centred collaborative care produced significant improvements over 12 months.

    Cooper et al., Health Services Research, 2013 PMID 22716199

  • Maryland's Outcomes Measurement System

    Using Outcomes Measurement System interview data on consumers of Maryland's public behavioural health services from 2016 to 2018, a study profiled more than 1,100 deaf children and adolescents and compared them with their hearing peers.

    Crowe, Journal of Deaf Studies and Deaf Education, 2019 PMID 30796813

  • PHQ-9 screening outside the clinic

    At a community pharmacy diabetes education centre on Maryland's Eastern Shore, 11 of 57 patients (19.3%) screened positive on the PHQ-9; prescribers replied about 3 of the 11, which led the authors to advise against relying on fax alone.

    Wilson et al., Journal of the American Pharmacists Association, 2018 PMID 29217142

  • Behavioural health homes

    Interviews with 72 staff at 21 community mental health sites in Maryland and Michigan described technological and non-technological barriers to running behavioural health homes for people with serious mental illness during the COVID-19 pandemic.

    Woltmann et al., Ethnicity and Disease, 2023 PMID 38846738

Where Measurement Fits in Maryland's System

  • HiBoop is independent of these programs and does not connect to state, ASO or MCO systems. This is the context your practice, health plan and ASO operate in.

  • Medicaid Collaborative Care

    Medicaid, 2023

    Primary care providers bill one 99492 or 99493 a month and up to two 99494 add-ons, at minimum rates of $161.28, $128.88 and $66.60; health centres and rural health clinics bill G0512 ($145.08) once a month instead. Codes are billed on the care manager's cumulative time over the month, spread across contacts. Telehealth uses the GT modifier and audio-only the UB modifier.

    99492 to 99494G0512No prior authorization

  • The Behavioral Health ASO

    Specialty care

    Specialty behavioural health services in Maryland Medicaid are reimbursed through a behavioral health administrative services organization (ASO), currently Carelon Behavioral Health of Maryland. Before enrolling someone in collaborative care, a primary care practice must check with the ASO whether the person already receives specialty services, using a release that meets 42 CFR Part 2 to coordinate care.

    CarelonCoordination42 CFR Part 2

  • Certified Community Behavioral Health Clinics

    Planning

    Senate Bill 362 of 2023 directed the Department to apply for a CCBHC planning grant and for the federal demonstration. Maryland received a one-year planning grant on 31 December 2024, extended through 30 December 2026, and certification applications were due on 26 August 2026. Certified clinics must deliver nine essential services, including screening, assessment and diagnosis, and primary care screening and monitoring.

    SB 362Planning grantNine services

  • Who Is on a Collaborative Care Team

    PT 71-24

    The primary care provider leads and is the only one who bills. The behavioural health care manager can be a nurse, licensed social worker, psychologist or other licensed professional working under the provider's general supervision, and need not be on site with them. The psychiatric consultant, often a psychiatrist, psychiatric nurse practitioner or addiction medicine specialist, does not see the client and need not be a Medicaid provider.

    Care managerPsychiatric consultantPrimary care lead

Care Teams Across Maryland

  • HiBoop runs in the browser, so the same check-ins work for a practice in Baltimore and a rural clinic on the Eastern Shore. The collaborative care rules above apply statewide.

  • Baltimore

    Home to the Maryland Department of Health's headquarters, and to the urban practices where the BRIDGE trial tested collaborative care for depression.

  • Central Maryland

    Primary care practices in Baltimore, Howard, Anne Arundel and Harford counties can bill collaborative care for HealthChoice and fee-for-service participants without prior authorization.

  • Capital Region

    In Montgomery and Prince George's counties, collaborative care can include telehealth contacts, billed with the GT modifier.

  • Southern Maryland

    Health centres and rural health clinics in Charles, Calvert and St. Mary's counties bill collaborative care as G0512, once a month.

  • Western Maryland

    The former collaborative care pilot law asked for one of its sites to be in a rural area; statewide coverage now reaches practices from Frederick to Garrett County.

  • Eastern Shore

    A community pharmacy diabetes centre on the Eastern Shore tested PHQ-9 depression screening for its patients, as the research below describes.

Data sovereignty

Why Maryland clinics choose HiBoop

  • Outcome Tracking for Maryland Programs

    • Data for US customers is hosted in Google Cloud US regions and encrypted in transit and at rest
    • HIPAA compliant with a BAA for covered entities, and certified SOC 2 Type II
    • Role-based access, with a log of each time client data is viewed or exported
    • Care is $25/month on a month-to-month basis, and no credit card is needed to start
    • Clients fill in scales on their own phone, from an email link or a QR code at check-in

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, month to month
    $25
    USD/month
    Team
    Starting price, unlimited clinicians
    $200
    USD/month
    Network
    Multi-site organizations
    Custom
    Enterprise pricing

100+ validated scales for Maryland clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Depression and Anxiety

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • PCL-5 (PTSD)

  • Substance Use

    • TAPS (Tobacco, Alcohol and Other Substances)
    • ASSIST (Substance Involvement)
    • C-SSRS Screener (Suicide Risk)

  • Adolescents and Children

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • CRAFFT-2.1 (Youth Substance Use)
Browse all assessments

Maryland Medical Records and Minors' Consent

  • HIPAA is the federal floor. Maryland adds its Confidentiality of Medical Records Act, with extra rules for mental health records, and lets mature minors consent to their own mental health care. None of this certifies software; the obligations are yours, and HiBoop provides safeguards that help you meet them.

  • What Maryland law asks

    • Keep each patient's medical record confidential and disclose it only as the Confidentiality of Medical Records Act or other law allows (Health-General s.4-302); records covered by 42 CFR Part 2 follow the federal rules instead
    • Accept consent to mental health consultation, diagnosis and treatment from a minor aged 12 or older whom the provider judges mature and capable of informed consent; a minor under 16 cannot consent alone to prescription medication for it (Health-General s.20-104)
    • Decide case by case whether to tell a parent or guardian about a minor's treatment, and do not share it if you believe disclosure will harm the minor or deter them from seeking care (Health-General s.20-104(c))
    • Coordinate with the ASO using a release of information that meets 42 CFR Part 2, and keep a business associate agreement with every vendor handling protected health information

  • What HiBoop provides

    • A business associate agreement for HIPAA covered entities
    • Hosting in the US for US customers, with encryption both in transit and at rest
    • Role-based access, so you decide which staff can see an adolescent's results
    • SOC 2 Type II certification, with the controls set out on our trust page

  • Setting up collaborative care with HiBoop?

    Our trust page describes hosting, encryption, access controls and our SOC 2 Type II certification. Contact us for a BAA or for help with a security review.

    Read the trust centre

Grants & funding for Maryland mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • Maryland Behavioral Health Administration (BHA)

    Maryland BHA - Behavioral Health Technology Grants

    Tech eligible

    Maryland BHA periodically issues targeted grants for technology adoption in behavioral health, including EHRs, telehealth, and outcome measurement platforms. Maryland was an early adopter of value-based care and BH integration - digital measurement tools that enable accountable care are a strong fit for Maryland funding opportunities.

    VariesLearn more

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more
View all grants & funding

Resources for Maryland practitioners

Maryland Policy, Billing and Privacy Resources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Maryland require measurement-based care?

    For collaborative care, in effect yes. Maryland law defines the Collaborative Care Model to include outcome monitoring with standardized rating scales, and Medicaid covers it only for conditions with a validated tool to track symptoms. We found no Maryland law requiring outpatient clinicians in general to use symptom scales outside that model, though your contracts may set their own expectations.

  • Will HiBoop bill collaborative care or contact the ASO for us?

    No. HiBoop does not submit claims or connect to Medicaid, MCO or ASO systems. It sends and scores the scales, charts each client's results and exports them as CSV or PDF, so your team has the measurement record it needs.

  • Can a 13-year-old consent to therapy without a parent in Maryland?

    Possibly. Maryland leaves it to the provider to judge whether a young person of 12 or older is mature enough to give informed consent; if so, they can agree to mental health consultation, diagnosis and treatment themselves, though a minor under 16 still cannot agree alone to prescription medication for it. The provider may tell a parent about the treatment, unless they believe that would harm the minor or deter them from care. Confirm the details with your counsel; HiBoop's role-based access lets you limit who sees a young client's scores.

  • Is HiBoop HIPAA compliant for Maryland practices?

    Yes. HiBoop is HIPAA compliant and offers a business associate agreement to covered entities. Maryland's Confidentiality of Medical Records Act sets its own disclosure rules on top of HIPAA, so check particular disclosures with your counsel.

Official sources for Maryland

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.