MedicaidReimbursementHigh impact
Proposed Amendments to Disposable Medical Supplies/Durable Medical Equipment Services
Maryland Medicaid·MD·Medical Supply and Equipment
We identified it
Jun 20, 2026
Summary
Maryland Medicaid proposes new reimbursement rates for disposable medical supplies and durable medical equipment, setting payments at 100% of Medicare fee schedule rates for most items, with alternative pricing structures for non-Medicare items. The policy also removes preauthorization requirements for supplies under $500 and equipment under $1,000, allowing post-service authorization requests up to 30 days after delivery.
Action Required
By May 31, 2005: Review proposed regulations and submit written comments to Michele Phinney at Maryland Department of Health if needed. Monitor for final adoption date. Once effective: Update billing system reimbursement rates to reflect new Maryland Medicaid payment structure - 100% Medicare rates for most DME/supplies, remove preauth requirements for supplies <$500 and equipment <$1,000, implement 30-day post-service authorization window for applicable items.