Maryland Medical Assistance Program - Individuals With Intellectual and Developmental Disabilities - Provider Reimbursement

HB 440 requires Maryland's Department of Health to create a new reimbursement system for Medicaid providers serving individuals with intellectual and developmental disabilities (IDD). The system would allow higher payment rates for qualifying services, include recurring adjustments to support provider access and service quality, and prioritize rate increases for services needing extra time, communication support, or specialized training. However, the bill only takes effect if federal funds become available by December 31, 2036, under the Health Equity for Adults with Disabilities Act or similar programs; otherwise, it becomes void. If federal funding is secured, the new reimbursement structure would begin on October 1, 2026.