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MedicaidReimbursementMedium impact

Approved List of Items

Maryland Medicaid·MD·Medical Supply and Equipment
Effective date
Jan 1, 2000
We identified it
Jun 20, 2026
Days to comply

Summary

The Maryland Medical Assistance Program (Medicaid) updated their approved list of disposable medical supplies and durable medical equipment, with specific decreases to wheelchair reimbursement rates effective January 1, 2000. The policy establishes pricing hierarchies and includes detailed procedure codes and maximum allowable prices for various medical supplies and equipment.

Action Required

Action needed
For Maryland Medicaid providers: Update billing systems with the new procedure codes and maximum allowable prices listed in the approved items list. Pay special attention to decreased wheelchair reimbursement rates. Ensure billing staff reference the updated pricing structure that uses the lowest of manufacturer's suggested price less 25%, wholesale cost plus markup, state contract bid prices, other program reimbursement amounts, or provider charges.

Affected Billing Codes

X1030
X1000
X1001
X1047
X1049
X1002
X1043
X1051
X1052
X1053
X1044
X1045
X1054
X1055
X1056
X1057
X1058
X1059
X1060
X1061
X1062
X1063
X1064
X1065
X1066
X1067
X1079
X1003
X1004
X1005
X1006
X1007
X1019
X1011
X1012
X1014
X1015
X1016
X1017
X1069
X1070
X1071
X1072
X1018
X1020
84081
X1021
X1022
X1023
X1024
X1025
X1026
X1027
X1028
X1046
X1031
X1032
X1034
X1035
X1036
X1038
X1037
X1040
X1042
X1041
X1796
X1797