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MedicaidReimbursementMedium impact

Fiscal Year 2025 Rates for Medical Day Care Services

Maryland Medicaid·MD · Geriatrics·Medical Day Care
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medical Assistance Program (Medicaid) is increasing the per diem rate for Medical Day Care Services (procedure code S5102) by 3 percent, effective July 1, 2024. The new rate is $116.59 per diem. Billing teams must update their systems to use this new rate for all services rendered on or after July 1, 2024.

Action Required

Action needed
By July 1, 2024: Billing team must update billing software and fee schedules to reflect the new Medical Day Care Services rate of $116.59 per diem for HCPCS code S5102. Ensure all claims for Maryland Medicaid medical day care services provided on or after July 1, 2024 use the updated rate. Verify that legacy rates ($113.00 or previous amounts) are no longer applied to new claims. Contact Evonda Green-Bey at (410) 767-1475 or evonda.green-bey@maryland.gov with implementation questions.

Affected Billing Codes

S5102