Every state, kept current
The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Maryland state-specific services schedule has 44 codes.
- 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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Published codes
44
state-specific and temporary HCPCS codes on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
PA required
7
codes flagged by the state
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.
Common state-specific and temporary HCPCS codes and what Maryland Medicaid pays
A curated sample of recognizable procedures from the 44-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Maryland rate | % of Medicare |
|---|
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. Rows marked * show the schedule's representative published variant.
More Maryland Medicaid fee schedules
- Maryland Medicaid fee schedule 2026, all categories
- Maryland dme & supplies fee schedule · 1,785 codes
- Maryland physician fee schedule · 64 codes
- Maryland behavioral health fee schedule · 37 codes
- Maryland vision fee schedule · 7 codes
- Maryland drugs fee schedule · 6 codes
State-Specific Services rates in neighboring states
Frequently asked questions
What does Maryland Medicaid pay for state-specific and temporary HCPCS services?
Maryland Medicaid publishes 44 state-specific and temporary HCPCS code rates effective 2026 on its fee-for-service schedule. The schedule covers clinic and screening encounters, telehealth facility fees, personal care, and other C, Q, S and T codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Maryland's state-specific services rates compare with Medicare?
Most state-specific services codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do state-specific and temporary HCPCS services need prior authorization in Maryland?
Maryland publishes prior-authorization flags on its schedule: 7 state-specific services codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Maryland's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.