MedicaidReimbursementMedium impact
Fiscal Year 2019 Rates for the Home and Community-Based Options Waiver and Increased Community Services (ICS) Programs
Maryland Medicaid·MD · Geriatrics, Family Medicine, General Practice·Provider Transmittal
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Summary
Maryland updated payment rates for Home and Community-Based Options Waiver and Increased Community Services programs effective July 1, 2018. The policy establishes specific reimbursement rates for services including case management ($63.75/hour), medical day care ($79.84/day), assisted living services, and behavior consultation ($67.97/hour).
Action Required
Billing team must verify current payment rates in billing system match the published rates for Maryland Medicaid waiver services. Update fee schedules for procedure codes W0199, W5524, W5525 ($63.75/hour), W0212, W0208, W1724 ($67.97/hour), S5102 ($79.84/day), and assisted living codes W0226-W0229, W0221, W1723 with their respective daily rates. Ensure compliance with billing limitations specified in COMAR 10.09.54 and 10.09.81.