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MedicaidReimbursementHigh impact

FY 2024 Rate Increase for Community First Choice and Community Personal Assistance Services

Maryland Medicaid·MD · Geriatrics, Palliative Care, Occupational Therapy +2 more·Provider Transmittal
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medical Assistance Program is increasing rates for Community First Choice and Community Personal Assistance Services by 4% effective July 1, 2023, with an additional 8% increase scheduled for January 1, 2024 under the Fair Wage Act. Billing teams must update fee schedules in their systems immediately for the July increase and prepare for the January 2024 update when the revised fee schedule is distributed.

Action Required

Action needed
By July 1, 2023: Billing team must update all fee schedules in the billing system for Community First Choice and Community Personal Assistance Services with the new 4% increased rates provided in the attached rate tables for procedure codes W5513, W5514, W5518, W5512, W5516, W5519, W5521, W5532, W5533, W5510, W5511, W5523, W5524, W5525, W5517, W5522, W5527, W5528, W5526, and W5529. Note that codes W5513, W5514, W5510, W5511, and W5517 are excluded from the statutory increase per COMAR regulations. Before January 1, 2024: Billing team must prepare to implement an additional 8% rate increase when the updated fee schedule is distributed later in 2023. Contact Lisa Toland at (410) 767-5792 or Lisa.Toland@maryland.gov with questions. Failure to update rates will result in underbilling and revenue loss.

Affected Billing Codes

W5513
W5514
W5518
W5512
W5516
W5519
W5521
W5532
W5533
W5510
W5511
W5523
W5524
W5525
W5517
W5522
W5527
W5528
W5526
W5529