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Maryland Medicaid Reimbursement for Services Provided by Pharmacists within Their Lawful Scope of Practice, Effective January 1, 2024

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

Summary

Maryland Medicaid will now reimburse pharmacists for services provided within their lawful scope of practice starting January 1, 2024. This expands coverage to include pharmacist-provided clinical services that were previously not reimbursable under Maryland Medicaid.

Action Required

Action needed
Effective January 1, 2024: Billing teams working with pharmacist providers in Maryland must verify updated billing procedures for pharmacist services under Maryland Medicaid. Contact Maryland Medicaid or review the full transmittal document to understand specific billing requirements and eligible services. Update billing systems to accommodate new pharmacist service reimbursements.