MedicaidBilling CodesMedium impact
Billing for Developmental Screenings Performed During Well-Child Visits
Maryland Medicaid·MD · Pediatrics, Family Medicine·EPSDT
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated billing guidelines for developmental screenings performed during well-child visits under the EPSDT program. This affects how pediatric practices bill for developmental assessments and screenings during routine well-child examinations.
Action Required
Immediately: Review the Maryland Medicaid provider transmittal PT 50-25 to understand updated billing requirements for developmental screenings during well-child visits. Billing team and providers must verify compliance with new EPSDT guidelines and update billing practices accordingly to ensure proper reimbursement for developmental screening services.