MedicaidReimbursementMedium impact
Fiscal Year 2024 Rates for Model Waiver Services
Maryland Medicaid·MD · Geriatrics, Palliative Care·Provider Transmittal
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Effective January 1, 2024, Maryland Medical Assistance Program increases reimbursement rates for Model Waiver Case Management Services by 8% under COMAR 10.09.27. Three billing codes (W1614, W1616, W1618) now have updated monthly payment rates ranging from $638.06 to $1,276.14. Billing teams must update fee schedules in their systems to reflect these new rates for all services rendered on or after January 1, 2024.
Action Required
By December 31, 2023: Billing team must update the fee schedule in the billing system for Maryland Medicaid Model Waiver services. Update the payment rates for procedure codes W1614 ($1,276.14/month), W1616 ($1,276.14/month), and W1618 ($638.06/month). Verify that all claims submitted on or after January 1, 2024 reflect the new rates. Communicate the rate increase to case management providers and front-desk staff. Failure to update rates may result in underbilling and revenue loss.