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MedicaidReimbursementMedium impact

FY 2015 Home and Community Based Options Waiver Program Rates

Maryland Medicaid·MD · Geriatrics, Family Medicine, Internal Medicine·Home and Community-Based Options Waiver
Effective date
Jul 1, 2014
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland's Home and Community Based Options Waiver Program has updated payment rates effective July 1, 2014, establishing specific reimbursement amounts for waiver services including dietitian services, family training, medical day care, assisted living, respite care, and behavior consultation. This affects billing for Medicaid waiver participants in Maryland.

Action Required

Action needed
Billing team must update Maryland Medicaid waiver service rates in billing system for the listed procedure codes. Verify current rates match the published schedule and adjust any pending or future claims accordingly. Review billing limitations specified in COMAR 10.09.54 for additional requirements.

Affected Billing Codes

W0212
W0208
S5102
W0226
W0227
W0228
W0229
W0221
W1723
W1724