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MedicaidReimbursementLow impact

Proposed Amendments COMAR 10.09.53 EPSD Private Duty Nursing

Maryland Medicaid·MD · Pediatrics·EPSDT Nursing Services
Effective date
Jan 1, 2000
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medicaid increased private duty nursing reimbursement rates by 20% effective January 1, 2000, for EPSDT, Model Waiver, and REM programs. The policy updates billing codes W1605, W1606, W1602, W1603, W1901, W1902, W1909, W1910, W9231, W9232, W9233, and W9234 with new hourly and half-hourly rates ranging from $9.75 to $28.20.

Action Required

Action needed
No action required - this is a historical policy from 2000 that increased private duty nursing rates for Maryland Medicaid programs. The rate increases have already been implemented and are not relevant to current billing practices.

Affected Billing Codes

W1605
W1606
W1602
W1603
W1901
W1902
W1909
W1910
W9231
W9232
W9233
W9234