Maryland Medicaid (Maryland Department of Health) policy updates
Track new and updated Maryland Medicaid (Maryland Department of Health) policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Community Violence Prevention (CVP) services reimbursement | Maryland Medicaid (Maryland Department Of Health) | Reimbursement | — | Modified | Oct 1, 2026 |
| Maryland Medicaid Nursing Facility Rates | Maryland Medicaid (Maryland Department Of Health) | Reimbursement | — | Modified | Jul 1, 2026 |
| Targeted Case Management (Coordination of Community Services) rate change | Maryland Medicaid (Maryland Department Of Health) | Reimbursement | — | Modified | Jul 1, 2026 |
| Amendment to TCM/Coordination of Community Services reimbursement rates and funding | Maryland Medicaid (Maryland Department Of Health) | Reimbursement | — | Modified | Jul 1, 2026 |
| Proposed Transition of Outpatient Mental Health Center (OMHC) Services to the Rehabilitation Services Benefit | Maryland Medicaid (Maryland Department Of Health) | Administrative | — | Modified | May 1, 2026 |
| Public Notice for Non-Emergency Medical Assistance Transportation | Maryland Medicaid (Maryland Department Of Health) | Administrative | — | Modified | Jan 1, 2026 |
| Quick Reference to Medical Care Program Coverage Groups and HealthChoice Eligibility (Updated April 2025) | Maryland Medicaid (Maryland Department Of Health) | Administrative | — | Modified | Apr 1, 2025 |
| 2026 Dual Eligible Standards | Maryland Medicaid (Maryland Department Of Health) | Administrative | — | Modified | Jan 1, 2025 |
| Fiscal Year 2025 Rates for Nursing Services (Transmittal No. 62 / Transmittal No. 57) | Maryland Medicaid (Maryland Department Of Health) | Reimbursement | — | Modified | Jul 1, 2024 |
| HealthChoice Managed Care Organization Agreement — definitions, enrollee rights, enrollment, and covered services (Part 1) | Maryland Medicaid (Maryland Department Of Health) | Administrative | — | Modified | Jan 1, 2024 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.