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Maryland MedicaidMedicaid · Reimbursement · Provider Transmittal · MD · Geriatrics, Palliative CareHigh impact

Fiscal Year 2027 Rates for the Developmental Disabilities Administration Targeted Case Management Services

Act
by Jun 30, 2026
Effective date
Jul 1, 2026
Identified
Jul 17, 2026

Summary

Maryland Medicaid Developmental Disabilities Administration is reducing Targeted Case Management (TCM) service rates by 2% effective July 1, 2026. Comprehensive Assessment rate drops to $441.00 per assessment, and TCM coordination services decrease to $27.76 per 15-minute unit statewide, with a higher geographic differential rate of $29.76 per 15-minute unit for five designated Maryland counties (Calvert, Charles, Frederick, Montgomery, Prince George's).

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What to do

by Jun 30, 2026 · 6 steps
01Billing team must update fee schedules in billing software for all Maryland Medicaid DDA Targeted Case Management claims.
02Update Comprehensive Assessment reimbursement to $441.00 per assessment.
03Update TCM Community Coordination, Waiting List Coordination, and Transition Coordination rates to $27.76 per 15-minute unit for all Maryland counties.
04Configure billing system to apply geographic differential rate of $29.76 per 15-minute unit for services provided to participants in Calvert, Charles, Frederick, Montgomery, and Prince George's counties.
05Verify all affected claims process correctly under new rates starting July 1, 2026.
06Communicate rate changes to clinical staff and DDA case management providers in your network.
If missed: Failure to update rates may result in overpayment denials or claim adjustments by Maryland Medicaid.

Original notice

Fiscal Year 2027 Rates for the Developmental Disabilities Administration Targeted Case Management Services
health.maryland.gov · Always check the source before changing claims.
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Related changes

See all Maryland Medicaid changes →
FY 2027 Geographical Differential Rate for the Developmental Disabilities Administration Targeted Case Management ServicesMediumEffective Oct 1, 2026 · Developmentally Disabled IndividualsFY24 TCM Rate Increase for DDA TCM Services Including Community Coordination, Waiting List Coordination and Transition CoordinationHighEffective Jan 1, 2024 · Provider TransmittalFiscal Year 2025 Rates for the Developmental Disabilities Administration Targeted Case Management ServicesHighEffective Jul 1, 2024 · Developmentally Disabled IndividualsBrowse every Maryland Medicaid change in the policy list

Related policy hubs

Maryland Medicaid policiesMD policy changesGeriatricsPalliative Care

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