MedicaidReimbursementMedium impact
Fiscal Year 2005 Program Rate Increases
Maryland Medicaid·MD · Pediatrics, Psychiatry·Waiver for Children with Autism Spectrum Disorder
Effective date
Jul 1, 2004
We identified it
Jun 20, 2026
Summary
Maryland's autism waiver program increased payment rates by 2.5% for children with autism spectrum disorder services, and changed Therapeutic Integration Services billing from 4-hour units to 1-hour units with a maximum of 4 units per day per participant.
Action Required
Billing team must update payment rates for Maryland autism waiver services to new amounts listed in policy and change Therapeutic Integration Services (W9307) billing from 4-hour units to 1-hour units with maximum 4 units per day per participant. Update billing system with new rates: W9306 $26.92/hour, W9307 $21.53/hour, W9314 $21.01/hour, W9315 $88.31/hour, W9311 $89.38/half day.