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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Maryland schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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How Maryland pays
Maryland publishes fee schedules for two carve-outs: durable medical equipment (with prosthetics, orthotics, and supplies), and behavioral health, which runs fee-for-service through the state's Public Behavioral Health System with rates published by credential tier (psychiatrist, psychiatric NP, psychologist, licensed counselors), plus OMHC, SUD program, and ABA schedules. Other medical categories are paid through managed care and are not published as FFS rates.
Maryland's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 64 | Jul 2026 | 108.5% | $97.02 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| DME & Supplies | 1,785 | 2026 | 83.4% | $425.34 Continuous positive airway pressure (cpap) device (E0601) | 453 |
| Drugs | 6 | Jul 2026 | -- | -- | -- |
| Vision | 7 | 2026 | 75.4% | -- | 1 |
| Behavioral Health | 37 | Jul 2026 | 116.6% | $141.31 Psychotherapy, 60 minutes (90837) | -- |
| State-Specific Services | 44 | Jul 2026 | -- | -- | 7 |
| Dental | Maryland's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.
Where Maryland publishes its fee schedules
- Publisher
- Maryland Department of Health (MDH)
- Program
- Maryland Medicaid
- Official source
- https://health.maryland.gov/mmcp/pages/provider-information.aspx
- Last checked
- Sep 6, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Maryland schedules, every category and every code, export as CSV on the Rates plan.
Compare Maryland nationally
Frequently asked questions
Does Maryland publish a Medicaid fee schedule?
Yes. Maryland publishes 1,943 Medicaid fee-for-service procedure rates across 6 service categories, effective through Jul 2026, all collected and normalized here with plain-language procedure names. Maryland Department of Health (MDH) publishes Maryland's Medicaid fee schedules. One thing to know about how Maryland pays: Maryland publishes fee schedules for two carve-outs: durable medical equipment (with prosthetics, orthotics, and supplies), and behavioral health, which runs fee-for-service through the state's Public Behavioral Health System with rates published by credential tier (psychiatrist, psychiatric NP, psychologist, licensed counselors), plus OMHC, SUD program, and ABA schedules. Other medical categories are paid through managed care and are not published as FFS rates.
Who publishes Maryland's Medicaid fee schedule?
Maryland Department of Health (MDH) publishes Maryland's Medicaid fee schedules. The state's own fee-schedule page is https://health.maryland.gov/mmcp/pages/provider-information.aspx. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Sep 6, 2026).
What does Maryland Medicaid pay for common services?
A CPAP device (E0601) pays $425.34, an established-patient office visit (99213) $97.02 and an hour of psychotherapy (90837) $141.31. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Maryland's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Maryland's published rates run a median 83.4% of the Medicare amount, ranking 22 of 49 jurisdictions with a comparable basis.
What service categories does Maryland publish?
Physician (64 codes), DME & Supplies (1,785 codes), Drugs (6 codes), Vision (7 codes), Behavioral Health (37 codes), State-Specific Services (44 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Maryland's currently published fee schedules, the newest effective Jul 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.