Medicare Standardization Rate Updates for Calendar Year 2024 (CY24)

Jan 19, 2024

The Department is in the process of updating reimbursement rates for Medicare covered codes and services for the sections noted below, to be effective January 1, 2024. The new rates will reflect 72.4% of the most recent, 2024 Medicare rates.  

As new rates are implemented, the Department will post them to the Rate Setting page of the Health PAS portal and send an additional notice to include the Department’s plan for adjustment of previously submitted claims.  

* Reimbursement for Enhanced Primary Care Provider services under Section 90, Physician Services will receive 100% of the current year Medicare rate. 

The Department is providing this notice pursuant to MRS Title 2021, §3173-J, which requires advance notice for planned Medicare fee schedule changes that do not require rulemaking.  

Note that these adjustments only apply to services benchmarked to Medicare under the specified Sections of Policy for eligible services above. When a Section of Policy cross-references rates in a separate Section of Policy, the reimbursement provisions in the cross-referenced section of policy dictates the reimbursement amount (e.g. reimbursement for laboratory services under Section 95, Podiatry, is dictated by reimbursement methodology and rates set forth in Section 55, Laboratory Services. Podiatry providers will continue to receive reimbursement for Laboratory services in accordance with Section 55).  

Please contact your Provider Relations Specialist with questions.