MedicaidCoverageMedium impact
Updated Orthoses and Protheses Coverage Expansion under the So Every Body Can Move Act, Effective January 1, 2025
Maryland Medicaid·MD · Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +1 more·DME/DMS
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has expanded coverage for orthotic and prosthetic devices under the So Every Body Can Move Act, effective January 1, 2025. This expansion likely includes new covered items and updated billing guidelines for DME suppliers and healthcare providers serving Maryland Medicaid patients.
Action Required
Immediately: Billing team should obtain and review the full Maryland Medicaid transmittal PT 77-25 from the provided URL to understand specific coverage changes for orthotic and prosthetic devices. Update billing procedures and covered item lists for Maryland Medicaid patients accordingly. Contact Maryland Medicaid or review the complete transmittal for detailed billing code changes and documentation requirements.