After more than 2 years of work by APTA and the Maryland Chapter, the fee schedule for Maryland's Medicaid program has been expanded to include additional procedure codes directly related to physical therapy.
The additional CPT codes went into effect on December 1 for the Maryland Medical Assistance Program (MMA) and include a range of codes that more appropriately describe the services provided by physical therapists (PTs). Previously, the program's fee schedule was limited to 4 codes: PT evaluation, therapeutic exercise, unlisted therapeutic procedure, and manual therapy. APTA and the Maryland Chapter voiced concerns over the limitations of the codes.
The added codes will strengthen increased patient access to physical therapy services achieved through the expansion of Medicaid under the Affordable Care Act (ACA). The new fee schedule can be found in the MMA provider manual (.pdf). Editor's note: some users may have to click "cancel" and "ok" to access the document.
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