MedicaidReimbursementHigh impact
Fiscal Year 2023 Rate Increase for Model Waiver Services
Maryland Medicaid·MD · Geriatrics, Palliative Care·Provider Transmittal
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Maryland Medical Assistance Program is implementing a 12% rate increase for Model Waiver Case Management services effective July 1, 2022. This includes statutory FY2023 increases, Senate Bill 290 funding, and a temporary 4% American Rescue Plan Act increase for home and community-based services. Three specific procedure codes (W1614, W1616, W1618) have updated payment rates that must be reflected in billing systems.
Action Required
By July 1, 2022: Billing team must update all rate tables in billing system to reflect new Model Waiver Case Management payment rates—W1614 and W1616 at $1,181.61/month, W1618 at $590.80/month. Verify that system applies the 12% increase retroactively if claims were submitted between July 1 and policy implementation date. Contact Dawnn Williams (410-767-1448, dawnn.williams@maryland.gov) if rate tables in system do not match fee schedule. Failure to update rates will result in underpayment or claim denials for Model Waiver services.