MedicaidAdministrativeMedium impact
PT 44-26: Units of Service Limit Alignment for the Durable Medical Equipment and Supplies Program
Maryland Medicaid·MD · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy +1 more·Provider Transmittal
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
Maryland Medicaid is aligning its unit of service limits for Durable Medical Equipment (DME) and medical supplies with federal Medicare guidelines starting January 1, 2026. The changes will either increase, decrease, or maintain current limits based on historical claim patterns and Medicare's Medically Unlikely Edits.
Action Required
Before January 1, 2026: Billing team must review the updated Maryland Medicaid DME/DMS fee schedule when published on the Community Support Services web page. Update billing system unit of service limits for all DME/DMS codes to match new Maryland Medicaid limits. Monitor claims closely after implementation to ensure unit quantities align with new limits to prevent claim denials.