MedicaidCoverageLow impact
Community Violence Prevention Coverage for HealthChoice and Medicaid Fee-For-Service Enrollees
Maryland Medicaid·MD · Emergency Medicine·Provider Transmittal
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Maryland Medicaid will begin covering community violence prevention services effective July 1, 2023, using CPT code 99402 with a reimbursement rate of $32.76 per 30-minute session. Healthcare organizations must enroll as Community Violence Prevention Providers and maintain affiliations with designated trauma centers to bill for these services.
Action Required
By July 1, 2023: Healthcare organizations in Maryland seeking to provide community violence prevention services must obtain a new Type II NPI under taxonomy 405300000X, enroll as Provider Type 'VP' in Maryland's ePREP system, establish affiliations with designated trauma centers, ensure staff complete HAVI certification training, and contract with MCOs before billing CPT 99402 (limit 100 units per participant per 12-month rolling period).