MedicaidReimbursementHigh impact
Fiscal Year 2024 Rates for Brain Injury Waiver
Maryland Medicaid·MD · Occupational Therapy, Physical Therapy, Speech Therapy +1 more·Provider Transmittal
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Maryland Medical Assistance Program increases Brain Injury Waiver service rates by 3% effective July 1, 2023, with an additional 8% increase scheduled for January 1, 2024. Providers must update billing systems to use new rates for all Brain Injury Waiver services, with a second rate update coming later in 2023.
Action Required
By July 1, 2023: Billing team must update all billing software and fee schedules to reflect new rates for Brain Injury Waiver services (codes W0037, W0038, W0039, W0054, W0055, W0056, W0057, W0058, W0059, W0060). Update rates in billing system: Residential Habilitation Level 1 to $274.64/day, Level 2 to $363.65/day, Level 3 to $503.08/day; Day Habilitation Level 1 to $70.91/day, Level 2 to $123.69/day, Level 3 to $174.01/day; Supported Employment Level 1 to $42.07/day, Level 2 to $70.91/day, Level 3 to $174.01/day; ISS to $8.60 per 15-minute unit. Before January 1, 2024: Billing team must prepare for an additional 8% rate increase and watch for updated fee schedule to be distributed. Notify all relevant staff of contact information for questions: Jeronica Baldwin (410-767-5206) or Elena Janetopoulos (240-761-1344 or elena.janetopoulos@maryland.gov). Failure to update rates will result in underbilling and revenue loss.