MedicaidReimbursementMedium impact

Rate Increase for Certain School-Based Services Covered Under an IEP/IFSP

Q: Who is affected by this change?

This affects Maryland Medicaid Occupational Therapy, Physical Therapy, Speech Therapy, Pediatrics providers in MD on Medicaid plans.

Maryland Medicaid·MD · Occupational Therapy, Physical Therapy, Speech Therapy +1 more·Provider Transmittal

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

Maryland Medicaid has increased reimbursement rates for certain school-based services provided under Individualized Education Programs (IEP) or Individualized Family Service Plans (IFSP). This affects providers who bill Medicaid for therapeutic and educational services delivered in school settings.

Action Required

Action needed

Immediately: Review the full Provider Transmittal PT 20-22 document to identify specific services with rate increases. Update billing system with new reimbursement rates for applicable school-based IEP/IFSP services. Verify claims are being submitted with correct rates to maximize reimbursement.

Related policy hubs

Maryland Medicaid policies MD policy changes Occupational Therapy Physical Therapy Speech Therapy Pediatrics