MedicaidReimbursementHigh impact
Hospice Payment Rates for Federal Fiscal Year 2025
Maryland Medicaid·MD · Palliative Care, Geriatrics·Hospice
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Maryland Medical Assistance Program has updated hospice payment rates for Federal Fiscal Year 2025 (October 1, 2024 – September 30, 2025), effective immediately. Rates vary by geographic region and are based on Medicare rates with wage index adjustments. Providers must verify their regional rates and ensure claims are submitted with correct rate codes; non-compliant providers face a 2% market basket reduction.
Action Required
Immediately (retroactive to October 1, 2024): Billing team must update all hospice billing systems with FFY 2025 payment rates by geographic region/CBSA area. Identify practice location(s) and corresponding wage index and rate tables (full market basket vs. reduced 2% market basket). Ensure correct procedure codes (0653, 0651, 0654, 0652, 0655, 0656) are billed with updated rates effective October 1, 2024. Verify quality data submission compliance to avoid 2% market basket reduction; non-compliant providers receive reduced rates per second rate table. Contact Andrea Lavine at Andrea.Lavine@maryland.gov or 410-767-6771 if rates are unclear. Update internal billing documentation and reconcile any claims submitted October 1-December 2, 2024 to ensure correct rates were applied; resubmit or correct underbilled claims.