MedicaidCoverageMedium impact
PT 85-26: Justice Involved Case Management
Maryland Medicaid·MD · Psychiatry, Family Medicine, Internal Medicine·Managed Care
Effective date
Oct 23, 2025
We identified it
Jun 18, 2026
Summary
Maryland Medicaid now covers Justice Involved Case Management services for incarcerated individuals preparing for release and recently released individuals. Correctional facilities must enroll as new provider type PT-GJ to bill $561.05 per 30-day period for case management services requiring at least 3 contacts with participants.
Action Required
By October 23, 2025: Correctional facilities must enroll in ePREP as provider type PT-GJ and upload Justice Involved Provider Addendum. Set up billing for HCPCS T2023 at $561.05 per 30-day period with Place of Service 09 for pre-release services. Document at least 3 participant contacts within 30-day billing period including comprehensive assessment, care plan development, referrals, and monitoring. Verify participant Medicaid eligibility and obtain consent before service delivery.