MedicaidAdministrativeMedium impact
Amendments 10.09.20
Maryland Medicaid·MD · Occupational Therapy, Physical Therapy·Personal Assistance/Care Services
Effective date
Sep 6, 1999
We identified it
Jun 20, 2026
Summary
Maryland Medicaid adopted amendments to Personal Care Services regulations that clarify provider eligibility, case monitoring requirements, and billing procedures. Key changes include restricting family members from being providers, requiring case monitor review of all invoices before submission, and mandating preauthorization of service levels.
Action Required
Personal care providers must ensure they are not family members (spouse, child, parent, or sibling) of recipients. Case monitors must review and approve all personal care service invoices before submission to Maryland Medicaid. Only case monitoring agencies may submit billing for payment - providers cannot bill directly. All service levels must be preauthorized by case monitoring agencies according to Personal Care Services regulations.