MedicaidReimbursementMedium impact
ASC Facility Reimbursement Rate Increase for Dental Services
Maryland Medicaid·MD · Dentistry·Ambulatory Surgical Centers
Effective date
Sep 1, 2024
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has increased facility reimbursement rates for Ambulatory Surgery Centers providing dental services, effective September 1, 2024. ASCs must use specific tiered rates based on dentist charges and submit claims using CMS-1500 forms with procedure code 41899.
Action Required
Immediately: ASCs providing dental services must update billing to use new tiered facility rates ($402-$4,024) based on total dental charges. Submit claims using CMS-1500 form with procedure code 41899 and write 'ASC DENTAL' on form. Obtain invoice from dentist showing total billed amount and retain for 7 years. Submit timely claims to Claims Processing Unit, late claims to Provider Relations Unit.