MedicaidReimbursementMedium impact
PT 70-26: Fiscal Year 2026 Case Management Rates for Medical Day Care Services
Maryland Medicaid·MD·Specialty Services
Effective date
Mar 16, 2026
We identified it
Jun 18, 2026
Summary
Maryland Medicaid updated case management reimbursement rates for Medical Day Care Services to $23.2645 per 15-minute unit using procedure code S5103, effective March 16, 2026. The policy clarifies billable versus non-billable activities, with minimum 8-minute duration required for billing.
Action Required
By March 16, 2026: Case management agencies serving Maryland Medicaid Medical Day Care Services participants must update billing systems to use procedure code S5103 at rate $23.2645 per 15-minute unit. Ensure all billable activities are logged in LTSSMaryland system and meet 8-minute minimum duration requirement. Review staff documentation practices to exclude non-billable activities like travel time, attempted contacts, and routine eligibility verification.