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Billing for Medication-Assisted Treatment Services Delivered for the Reentry SUD/SMI Program for Adults
Act
by Aug 1, 2026
Effective date
Aug 1, 2026
Identified
Sep 23, 2026
Summary
Maryland Medicaid will now reimburse authorized SUD providers (PT 50) for pre-release Medication-Assisted Treatment (MAT) services delivered via telehealth to incarcerated individuals within 90 days of release as part of the Reentry SUD/SMI Program for Adults. Providers must be contracted with DPSCS, Medicaid-enrolled, and currently licensed. All services require pre-authorization and must use place of service code 09 with GT or UB modifiers.
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What to do
by Aug 1, 2026 · 11 steps
01If your organization is a PT 50 SUD provider contracted with DPSCS at MCI-W or DRCF (or future approved facilities), update your billing system to enable billing for the 12 listed MAT procedure codes with the following requirements.
02Require place of service code 09 for all these codes.
03Require GT or UB modifiers on all claims.
04Implement mandatory pre-authorization through the Behavioral Health Administrative Services Organization before claim submission.
05Restrict billing to eligible incarcerated individuals only within 90 days pre-release.
06Train billing staff to verify provider credentials include active Maryland Department of Health Behavioral Health Administration SUD Level 1 Outpatient Treatment Program (Adults) license and DEA-registered practitioner enrollment.
07Verify your facility is listed as approved for the Reentry Program for Adults.
08Contact mdh.medicaidreentry@maryland.gov if interested in program participation.
09Claims submitted without pre-authorization or with incorrect modifiers/place of service codes will be denied.
10Update billing workflows and encounter forms to capture this restriction.
11Non-compliance will result in claim rejections and potential program termination.
Codes mentioned
H0001H0004H0038992029920399204992059921199212992139921499215
Original notice
Billing for Medication-Assisted Treatment Services Delivered for the Reentry SUD/SMI Program for Adults
health.maryland.gov no longer serves this document. We saved a copy on Nov 6, 2026.
Related changes
See all Maryland Medicaid changes →PT 66-26: Federally Qualified Health Center and Rural Health Center Coding GuidelinesHighEffective Mar 3, 2026 · CodingGeneral Provider TransmittalMediumNo effective date · General ProviderProposed HealthChoice AmendmentsMediumEffective Jan 1, 2003 · Managed Care OrganizationsEmergency and Proposed Amendment to HealthChoice RegulationsMediumEffective Jan 1, 2005 · Managed Care OrganizationsBrowse every Maryland Medicaid change in the policy list