MedicaidReimbursementMedium impact
PT 10-26: Primary Care Investment: E&M Increases Technical Update
Maryland Medicaid·MD · Psychiatry·Managed Care
Effective date
Aug 1, 2025
We identified it
Jun 18, 2026
Summary
This is a technical update clarifying that Provider Type 24 Nurse Psychotherapists (APRN-PMH) are now included in the increased E&M reimbursement rates for behavioral health providers. The enhanced rates apply to psychiatrists, psychiatric nurse practitioners, and nurse psychotherapists with PMH certification.
Action Required
Immediately: Billing team must verify that Provider Type 24 Nurse Psychotherapists (APRN-PMH) with Psychiatric Mental Health Certification are configured to receive the increased E&M rates in the billing system. Update provider profiles and fee schedules to ensure these providers receive the enhanced reimbursement rates that became effective August 1, 2025.