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​

NOTICE:  Visit ​Medicaid’s fee-for-service​ medical laboratory and professional services information center​. ​Find ​related fee schedules, prior authorization and clinical criteria requirements.​​​

Dental 

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

​Other ​

• Assistance in Community Integration Services​ (ACIS) Fee Schedule​
  
• COVID-19 Reimbursable Vaccine and Infusion Codes Fee Schedule ​
• DMS_DME-Fee-Schedule​​​​​​​​​​
  
• Environmental Lead Inspection 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)​
• School-Based Health Center Provider Manual​ ​
  

• ​​Urgent Care Facility Guidelines
  

Other ​Information by Provider Type