MedicaidBilling CodesHigh impact
Hourly Units ofWailver Services
Maryland Medicaid·MD · Physical Therapy, Occupational Therapy, Speech Therapy·Living at Home Waiver
We identified it
Jun 20, 2026
Summary
Maryland Medicaid waiver programs now strictly enforce that only full hours of service can be billed - no rounding up partial hours to the next full hour. Claims for services provided less than a full hour will be returned by the administering agencies.
Action Required
Immediately: Billing team must update all Maryland Medicaid waiver service billing to only submit claims for full hours of service provided. Stop rounding partial hours up to the next full hour. Update billing software rules to prevent submission of partial hour claims for hourly waiver services. Exclude preparation and travel time from billable service hours. Failure to comply will result in claim returns from administering agencies.