MedicaidReimbursementHigh impact
EPSDT Nursing Services Regulation Changes and Rates Effective April 1, 2014
Maryland Medicaid·MD · Pediatrics, Family Medicine·EPSDT Nursing Services
Effective date
Apr 1, 2014
We identified it
Jun 20, 2026
Summary
Maryland Medicaid updated EPSDT nursing services regulations and fee schedules effective April 1, 2014. New payment rates were established for different nursing service levels, and CNAs/HHAs must now be certified as medication technicians. All new requests require preauthorization through the Division of Nursing Services.
Action Required
Immediately: Update billing system with new EPSDT nursing service rates effective April 1, 2014. Billing team must ensure all new preauthorization requests are submitted to Division of Nursing Services at 410-767-1448 with supporting documentation for participant need and staff level required. Update fee schedules for all listed procedure codes with new payment rates ranging from $2.47-$12.50 per 15-minute unit.