MedicaidCoverageMedium impact
Waiver for Children with Autism Spectrum Disorder Proposed Regulations COMAR 10.09.56
Maryland Medicaid·MD · Pediatrics, Psychiatry, Occupational Therapy +1 more·Waiver for Children with Autism Spectrum Disorder
Effective date
Oct 1, 2004
We identified it
Jun 20, 2026
Summary
Maryland's Autism Spectrum Disorder waiver program is eliminating Day Habilitation services, adding new Intensive Individual Support Services and Therapeutic Integration as separate billable services, and expanding provider qualifications. The program also reduces the required special education hours threshold from 15 to 12 hours per week for eligibility.
Action Required
Maryland providers serving children with autism should review their service offerings to discontinue Day Habilitation services and establish separate billing for Intensive Individual Support Services (limited to 30 hours per week) and Therapeutic Integration services (billed hourly with 2-4 unit minimums). Update eligibility screening to reflect the reduced 12-hour per week special education threshold. All direct care staff must complete criminal background investigations by February 1, 2005 for new providers or June 1, 2005 for existing providers.