MedicaidReimbursementMedium impact
FY 2015 Community First Choice Program Rates
Maryland Medicaid·MD · Occupational Therapy, Physical Therapy·Community First Choice
Effective date
Jul 1, 2014
We identified it
Jun 20, 2026
Summary
Maryland's Community First Choice Program has established specific reimbursement rates for home and community-based services effective July 1, 2014. This policy sets payment rates for various W-codes including personal assistance services, environmental assessments, home delivered meals, and other community support services.
Action Required
Billing team must update reimbursement rates for all Community First Choice Program W-codes in billing system. Verify current rates match the published fee schedule: W5519 at $4.12 per 15-minute unit, W5520 at $3.145 per 15-minute unit, W5512 at $407.26 per assessment, and other specified rates. Note combined $15,000 three-year limit for W5513 and W5514 services. Review COMAR 10.09.84 for additional billing limitations.