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Proposed Amendments to COMAR 10.09.53 EPSDT Private Duty Nursing

Maryland Medicaid·MD · Pediatrics·EPSDT Nursing Services
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Maryland is proposing amendments to COMAR 10.09.53 regarding EPSDT (Early and Periodic Screening, Diagnostic and Treatment) Private Duty Nursing services. This affects billing and coverage requirements for private duty nursing services provided to Medicaid-eligible children.

Action Required

Action needed
Monitor this proposed regulation for final adoption and effective date. Review current EPSDT private duty nursing billing procedures to ensure compliance once amendments are finalized. Billing team should prepare for potential changes to prior authorization, documentation, or coverage requirements for pediatric private duty nursing services.

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