MedicaidReimbursementMedium impact
Update to Fiscal Year 2023 Rates for Brain Injury Waiver Services
Maryland Medicaid·MD · Neurology, PM&R (Physical Medicine & Rehab)·Provider Transmittal
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Summary
Maryland Medical Assistance Program reduced the rate increase for Brain Injury Waiver services from 11.25% to 7.25% effective October 1, 2022, removing a temporary 4% emergency increase. New payment rates are now in effect for all brain injury waiver service levels.
Action Required
Effective October 1, 2022: Billing team must update Maryland Medicaid billing rates for Brain Injury Waiver services to reflect the new 7.25% rate increase (reduced from 11.25%). Update billing system with the specific rates listed in the transmittal for codes W0037 through W0060. Ensure all claims for services provided on or after October 1, 2022 use the new rate structure.