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MedicaidReimbursementMedium impact

Fiscal Year 2024 Rates for Autism Waiver Services

Maryland Medicaid·MD · Pediatrics, Psychiatry, Occupational Therapy +1 more·Provider Transmittal
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medical Assistance Program increases reimbursement rates for Autism Waiver Services by 4% effective July 1, 2023 (level-funded due to expiration of temporary 4% increase), with an additional 8% rate increase scheduled for January 1, 2024. Billing teams must update fee schedules in their systems and prepare for the January 2024 rate adjustment when updated schedules are distributed.

Action Required

Action needed
By July 1, 2023: Billing team must update all fee schedules in the billing system for Maryland Medicaid Autism Waiver Services to reflect the new rates effective July 1, 2023 (Z9300, W9304, Z9301, W9305, W9306, W9307, W9308, W9311, W9314, W9315, W9320). By December 31, 2023: Prepare to receive updated fee schedule for January 1, 2024 implementation. On January 1, 2024: Implement the additional 8% rate increase across all Autism Waiver service codes per the Fair Wage Act of 2023. Contact Jeronica Baldwin (410-767-5206) or Lina Mak (410-767-0046) with questions. Failure to update rates may result in underbilling and revenue loss.

Affected Billing Codes

Z9300
W9304
Z9301
W9305
W9306
W9307
W9308
W9311
W9314
W9315
W9320