MedicaidReimbursementMedium impact
PACE Payment Rates for Calendar Year 2024
Maryland Medicaid·MD · Geriatrics·PACE
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Maryland Department of Health has released updated PACE (Program of All-Inclusive Care for the Elderly) capitation payment rates for calendar year 2024, effective January 1, 2024. Rates vary by age group (55-64 vs. 65+) and eligibility type (Medicaid only vs. full dual eligible), with rates ranging from $5,085 to $8,574 per member per month for both Baltimore Metro and DC Metro regions.
Action Required
By December 31, 2024: Billing team must verify that all PACE claims submitted for CY 2024 use the correct capitation rates based on member age group and eligibility status. Update billing system configuration to reflect the four rate categories: Age 55-64 Medicaid Only ($8,574.00), Age 55-64 Full Dual Eligible ($5,093.00), Age 65+ Medicaid Only ($6,331.00), and Age 65+ Full Dual Eligible ($5,085.00) for both Baltimore Metro and DC Metro regions. Ensure accounting and finance teams reconcile any CY 2024 PACE payments received to verify correct rate application. Contact Andrea Lavine at andrea.lavine@maryland.gov with any rate calculation questions or discrepancies.