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Maryland MedicaidMedicaid · Administrative · Community First Choice · MD · Occupational Therapy, Physical Therapy, Speech Therapy +2 moreHigh impact

Implementation of home and Community-Based Services Cost Survey

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

Summary

Maryland Medicaid is implementing a mandatory Home and Community-Based Services (HCBS) Cost Survey effective July 1, 2026. All HCBS providers who billed Medicaid from July 1, 2025–June 30, 2026 must complete and submit the survey by September 30, 2026, reporting cost, utilization, workforce data, and the percentage of payments spent on direct care worker compensation. This data will inform future rate-setting methodology and assess payment adequacy.

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What to do

by Sep 30, 2026 · 5 steps
01Billing team and operations staff must complete the HCBS Cost Survey in its entirety and submit accurate financial and operational data for all HCBS services billed during the period July 1, 2025–June 30, 2026.
02Immediately: Designate a staff member to receive provider communications from Maryland Medicaid at the email/contact registered for provider revalidation.
03Begin gathering all relevant financial records, operational documentation, direct care worker compensation data, utilization reports, and workforce information now to meet the September 30, 2026 deadline.
04Attend at least one live Q&A training session (scheduled July 21, August 5, August 20, September 2, or September 15, 2026) or review recorded training modules on the Annual HCBS Providers Cost Survey website.
05Ensure internal staff responsible for billing, finance, and operations are informed of survey requirements and deadlines.
If missed: Failure to submit the survey by the deadline may result in compliance issues with Maryland Medicaid and could affect provider enrollment status.

Original notice

Implementation of home and Community-Based Services Cost Survey
health.maryland.gov · Always check the source before changing claims.
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Related changes

See all Maryland Medicaid changes →
Updates for the Home and Community-Based Services Cost SurveyHighEffective Dec 31, 2026 · Waiver for Children with Autism Spectrum DisorderBrowse every Maryland Medicaid change in the policy list

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Maryland Medicaid policiesMD policy changesOccupational TherapyPhysical TherapySpeech TherapyGeriatricsPalliative Care

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