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MedicaidReimbursementMedium impact

Fiscal Year 2019 Rates for the Community First Choice and Community Personal Assistance Services Programs

Maryland Medicaid·MD · Occupational Therapy, Physical Therapy, General Practice·Provider Transmittal
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland has established fiscal year 2019 payment rates for Community First Choice and Community Personal Assistance Services programs, effective July 1, 2018. The policy provides specific reimbursement rates for W-codes including personal assistance services, supports planning, nurse monitoring, and various community support services.

Action Required

Action needed
Billing team must verify current reimbursement rates in billing system match the established rates for Community First Choice and Community Personal Assistance Services W-codes. Update fee schedules to reflect the specific hourly, daily, and per-unit rates listed in the policy. Ensure billing limitations per COMAR 10.09.84 and COMAR 10.09.20 are properly configured in the system.

Affected Billing Codes

W5513
W5514
W5518
W5512
W5516
W5519
W5521
W5532
W5533
W5510
W5511
W5523
W5524
W5525
W5517
W5522
W5527
W5528
W5526
W5529
Fiscal Year 2019 Rates for the Community First Choice and Community Personal Assistance Services Programs | Maryland Medicaid | PolicyChanges.app