MedicaidReimbursementLow impact
PT 26-26: PACE Payment Rates for Calendar Year 2025
Maryland Medicaid·MD · Geriatrics·Claims & Billing
Effective date
Jan 1, 2025
We identified it
Jun 18, 2026
Summary
Maryland has updated PACE payment rates for calendar year 2025, with new capitation rates varying by age group, dual eligibility status, and geographic region (Baltimore Metro vs DC Metro). These rates apply to the Program of All-Inclusive Care for the Elderly participants.
Action Required
Billing team: Update PACE capitation rates in billing system for calendar year 2025. Apply new rates based on participant age (55-64 vs 65+), dual eligibility status (Medicaid only vs Full dual), and service region (Baltimore Metro vs DC Metro). Contact Andrea Lavine at andrea.lavine@maryland.gov with questions.