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

​Audiology Services

• Audiology Clinical Criteria  Effective October 1, 2020
• Audiology Provider Memo  April 2019
• Audiology Corrections Memo  December 2018
• Audiology MCO Preauthorization Contacts List  2019
• Audiology Parent Q & A  English
• Audiology Parent Q & A  Spanish
  
• EPSDT Audiology, Physical, Occupational, Speech and Vision Services Provider Manual
  

Behavioral Health

The Department's designated administrative service organization, Carelon, must authorize behavioral health services.​

• Fee Schedules
• Manuals​
• 1915(i) Information
• Health Homes Information
• Residential Substance Use Disorder Treatment for Adults​
  

Dental 

• 2025 Dental Fee Schedule and Procedure Codes Effective January 1, 2025
  
• 2024 Dental Fee Schedule and Procedure Codes Effective January 1, 2024​
  
• 2023 Dental Fee Schedule and Procedure Codes Effective August 1, 2023
  
• 2023 Dental Fee schedule and Procedure Codes Effective April 1, 2023
• 2022 Dental Fee Schedule and Procedure Codes  Effective July 1, 2022
• 2022 Dental Fee Schedule and Procedure Codes  Effective January 1, 2022
  

Early Periodic Screening Diagnosis and Treatment (EPSDT) - Healthy Kids 

• Applied Behavior Analysis (ABA) Fee Schedule Effective July 1, 2024
  
• EPSDT Audiology, Physical, Occupational, Speech and Vision Services Provider Manual
  
• Maryland Healthy Kids Program
• Medicaid Policy & Procedure Manual for Services Delivered through the IEP/IFSP​ Effective January 1, 2025
  

Hospice Services

• Maryland Medical Assistance Hospice Program Rates (Fiscal Year 2015)
• Maryland Medical Assistance Hospice Program Rates (Fiscal Year 2016)
  

Nursing Services

• Nursing Services Policy Manual (2017)
• Division of Nursing Services Contact Information
• Division of Nursing Services Preauthorization Process - 2021

Reproductive Health Providers

• ​​M​aryland Prenatal Risk Assessment Form​ - Updated January 2025​
• Enriched Maternity Services Form (Updated February 2022)
  
• Physician Forms for Hysterectomy, Sterilization, and Preauthorization
  
• ​​​Document for Hysterectomy- MDH 2990
  
• Sterilization Consent Form - HHS-687
• Sterilization Consent Form (Spanish) -HHS 687-1
• Freestanding Birth Center Facility Fee Schedule

Fee Schedules – COVID-19

• COVID-19 Reimbursable Laboratory Codes Fee Schedule 
  
• COVID-19 Reimbursable Vaccine and Infusion Codes Fee Schedule ​
  

Fee Schedules - Other 

• 2025 Professional Services Fee Schedule Effective 1/1/25 updated 6/25/25
  
• 2024 Professional Services Fee Schedule Effective 5/1/24 updated 11/15/2024
  
• DMS_DME-Fee-Schedule​​​​​-Updated 1/1/2025​​​​ Revised​
• Environmental Lead Inspection Fee Schedule​​
• Monkeypox Vaccine and Administration Fee Schedule
  
• Nursing Services Program Rates – Fiscal Year 2020 Effective 7/1/19
• Private Duty Nursing/Home Health Aide Fee Schedule​ 
• REM Case Management Rates​ Effective 01/01/24

Guidance - Other

• Urgent Care Facility Guidelines
  

Manuals - Other

• 2024 Professional Services ​Provider Manual Effective 1/1/24 Revised 10/28/2024​​​
• Podiatry Services Provider Manual  Revised April 2019
  
• School-Based Health Center Provider Manual​ ​​
  

Medicare Advantage

• Medicare Advantage Plan Cost Sharing Memorandum

Miscellaneous Information 

• 1184 E-Medicaid Newborn Processing Instructions  Effective April 2012
• Drug Formularies
• Health Information Portability and Accountability Act (HIPAA) Resources
  
• Request for New Medicaid Coverage Consideration for Procedures, Devices and Drugs/Biologics

Preauthorization

• Professional Services Preauthorization Information Effective 1/1/19​​