Medicaid Provider Program Resources and Fee Schedules

​Find fee schedules, manuals and forms. See Provider Quick Links to access more information and resources.​​

Fee Schedules​​

Dental 

• 2025 Dental Fee Schedule and Procedure Codes Effective January 1, 2025
  
• 2024 Dental Fee Schedule and Procedure Codes Effective January 1, 2024​
  

Professional Services

• ​2026 Professional Services Fee Schedule​ Effective 1/1/26 updated 02/17/26
• 2025 Professional Services Fee Schedule​​​ Effective 1/1/25 updated 10/17/25
  
• ​2025 PCP E&M Rates Effective 08/01/2025
  

Other 

• Applied Behavior Analysis (ABA) Fee Schedule Effective July 1, 2024
• Assistance in Community Integration Services​ (ACIS) Fee Schedule​
• COVID-19 Reimbursable Laboratory Codes Fee Schedule 
• COVID-19 Reimbursable Vaccine and Infusion Codes Fee Schedule ​
• DMS_DME-Fee-Schedule​​​​​​​​-​Effective 1/1/2026​​​​ 
• Environmental Lead Inspection Fee Schedule​​
• Monkeypox Vaccine and Administration Fee Schedule
• Private Duty Nursing/Home Health Aide Fee Schedule​ 
• REM Case Management Rates​ Effective 01/01/24

Forms

Reproductive Health Provider 

• ​​M​aryland Prenatal Risk Assessment Form​ - Updated January 2025​
• Enriched Maternity Services Form (Updated February 2022)​
  
• ​​​Document for Hysterectomy- MDH 2990
  
• Consent for Sterilization (English) - Form HHS-687
• Consent for Sterilization (Spanish) - Form HHS-687-1
  

​Manuals 

• EPSDT Audiology, Physical, Occupational, Speech and Vision Services Provider Manual ​​Effective 1/1/26​
• Medicaid Policy & Procedure Manual for Services Delivered through the IEP/IFSP​​​​ Effective 1/1/26
  
• Nursing Services Policy Manual (2017)
• 2026​ Professional Services ​Provider Manual​​​ Effective 1/1/26
• Podiatry Services Provider Manual  Revised April 2019
• School-Based Health Center Provider Manual​ ​
  

• ​​Urgent Care Facility Guidelines
  

Other ​Information by Provider Type