Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.27 - Home Care for Disabled Children Under a Model Waiver
Section 10.09.27.06 - Payment Procedures
Universal Citation: MD Code Reg 10.09.27.06
Current through Register Vol. 51, No. 19, September 20, 2024
A. Payment procedures as set forth in COMAR 10.09.36 apply.
B. Payments.
(1) Payments shall be made directly to a
qualified provider.
(2) Providers
shall be paid the lesser of:
(a) The
provider's customary charge to the general public unless the service is free to
individuals not covered by Medicaid; or
(b) The rate established according to the fee
schedule published by the Department.
C. Rates.
(1) The Department shall publish a fee
schedule for services covered under this chapter that shall be publicly
available and updated at least annually or upon any changes made by the
Department.
(2) Effective July 1,
2022, rates for services governed by this chapter are as follows:
(a) For home health aide or certified nursing
assistant services provided to one participant:
(i) $5.0809 per 15 minutes of services;
or
(ii) If the services are
rendered by a home health aide or certified nursing assistant who is also a
certified medical technician, $6.1208 per 15 minutes of services;
(b) For home health aide or
certified nursing assistant services provided to two or more participants in
the same residence:
(i) $3.5044 per 15 minutes
of services per participant; or
(ii) If the services are rendered by a home
health aide or certified nursing assistant who is also a certified medical
technician, $4.2232 per 15 minutes of service per participant; and
(c) Payments for home care case
management services shall be made as follows:
(i) Waiver enrollment
process-$1,181.61;
(ii) First month
of home care case management-$1,181.61; and
(iii) The second and any subsequent month of
home care case management-$590.80.
(3) Subject to the limitations of the State budget,
the Program's rates as specified in this regulation shall increase by 4 percent
each year through Fiscal Year 2026.
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