MedicaidCoverageMedium impact
Waiver for Adults with Traumatic Brain Injury- Amended Regulations COMAR 10.09.46
Maryland Medicaid·MD · Neurology, PM&R (Physical Medicine & Rehab), Psychiatry·Waiver for Adults with Brain Injury (TBI)
Effective date
Apr 9, 2007
We identified it
Jun 20, 2026
Summary
Maryland Medical Assistance Program has amended regulations for the Traumatic Brain Injury waiver program, adding a new Individual Support Services benefit and expanding eligibility to include patients from CARF-accredited special hospitals. This affects Medicaid billing for TBI services in Maryland.
Action Required
Maryland providers serving TBI waiver participants should review new Individual Support Services billing requirements (maximum 8 units per day, cannot be billed same day as residential habilitation or Family and Individual Support Services). Update billing edits to prevent same-day billing conflicts. Ensure staff working with TBI patients complete required annual continuing education programs.