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Maryland MedicaidMedicaid · Reimbursement · Developmentally Disabled Individuals · MDMedium impact

FY 2027 Geographical Differential Rate for the Developmental Disabilities Administration Targeted Case Management Services

Effective date
Oct 1, 2026
Identified
Oct 8, 2026

Summary

Maryland's Developmental Disabilities Administration (DDA) has increased the geographical differential rate for Targeted Case Management (TCM) services, also known as Coordination of Community Services, to $29.23 per 15-minute unit effective October 1, 2026. This higher rate applies only to services provided to participants residing in five designated Maryland counties (Calvert, Charles, Frederick, Montgomery, and Prince George's). Billing teams must ensure claims for TCM services in these counties reflect the updated rate to avoid underpayment.

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What to do

Action · 3 steps
01Already effective October 1, 2026: Billing team should verify that the practice's billing system has been updated to apply the new rate of $29.23 per 15-minute unit for Coordination of Community Services (Targeted Case Management) claims for participants residing in Calvert, Charles, Frederick, Montgomery, or Prince George's County, Maryland.
02Confirm current applicability with the practice's claims processing workflow and reconcile any claims submitted between October 1 and analysis date to ensure correct reimbursement.
03Contact Denise Farmer (denise.farmer@maryland.gov) or Cathy Marshall (cathy.marshall@maryland.gov) with questions about rate application or participant eligibility verification.

Original notice

FY 2027 Geographical Differential Rate 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 →
Fiscal Year 2027 Rates for the Developmental Disabilities Administration Targeted Case Management ServicesHighEffective Jul 1, 2026 · Provider TransmittalFY24 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

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