MedicaidReimbursementHigh impact
One Time Rate Increase for Home Health Services
Maryland Medicaid·MD · Physical Therapy, Occupational Therapy, Speech Therapy·Provider Transmittal
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Maryland Medicaid is implementing a one-time 4% rate increase for all home health services effective July 1, 2022, authorized by the American Rescue Plan Act. This applies to skilled nursing, home health aide, physical therapy, occupational therapy, and speech pathology services across all Maryland counties. Billing teams must update fee schedules in their systems to reflect the new rates by the effective date.
Action Required
By July 1, 2022: Billing team must update all fee schedules in the billing system to reflect the new 4% increased rates for Maryland Medicaid home health services. Replace existing rates for procedure codes 0551 (Skilled Nursing), 0571 (Home Health Aide), 0421 (Physical Therapy), 0431 (Occupational Therapy), 0441 (Speech Pathology), and 0273 (Disposable Medical Supplies/DME) with rates shown in the enclosed fee schedule, which vary by county. Rates are based on the home health agency's home office location. For out-of-state providers, apply the lower of either the home state's Medicaid rate or the nearest Maryland county rate. Failure to update rates will result in underbilling and claim processing errors.