MedicaidReimbursementMedium impact
FY 2021 Behavioral Health and ABA Provider Reimbursement Rates
Maryland Medicaid·MD · Psychiatry, General Practice, Pediatrics·Provider Transmittal
Effective date
Jul 1, 2020
We identified it
Jun 20, 2026
Summary
Maryland Medical Assistance (Medicaid) reimbursement rates increase by 4 percent effective July 1, 2020, for eight program categories including behavioral health services, substance use disorder treatment, health homes, mental health services, case management, therapeutic behavioral services, home and community-based services, and Applied Behavioral Analysis (ABA). Billing teams must update fee schedules in their system to reflect the increased reimbursement rates for Maryland Medicaid claims.
Action Required
By July 1, 2020: Billing team must update all reimbursement rates in the billing system for Maryland Medicaid claims to reflect the 4 percent increase. Affected program areas include: Adult Residential SUD, Community-Based SUD, Health Homes, Mental Health, Targeted Case Management for Adults, Targeted Case Management for Children, Therapeutic Behavioral Services, 1915i Home and Community Based Services, and Applied Behavioral Analysis services. Verify updated provider type-specific rates with Maryland Code of Maryland Regulations. Contact Maryland Medicaid program staff if rate tables are unclear. Failure to update rates may result in underbilling and revenue loss. Note: This policy is dated July 27, 2020, making it retroactively effective; ensure any claims submitted since July 1, 2020, are corrected with the new rates.