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MedicaidReimbursementMedium impact

Fiscal Year 2024 Rates for Medical Day Care Services

Maryland Medicaid·MD · Geriatrics·Provider Transmittal
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Effective January 1, 2024, Maryland Medical Assistance Program is increasing the Medical Day Care Services per diem rate for procedure code S5102 by 8 percent to $113.19. This statutory increase applies to services rendered under COMAR 10.09.07. Providers may begin billing the new rate for services provided on or after January 1, 2024.

Action Required

Action needed
By December 31, 2023: Billing team must update the rate table in the billing system to reflect the new S5102 rate of $113.19 per diem for Maryland Medicaid claims. Verify that the system is configured to apply the old rate ($104.80 or previous rate) for services prior to January 1, 2024, and the new rate for January 1, 2024 forward. Test billing scenarios to ensure correct rate application. Contact Evonda Green-Bey at (410) 767-1475 or evonda.green-bey@maryland.gov with implementation questions. Failure to update rates will result in underbilling and revenue loss.

Affected Billing Codes

S5102