I am often asked what extraordinary medical expenses are in Maryland.
Effective October 1, 2019, Maryland’s law on “extraordinary medical expenses” changed. The law (and these updates) is found in Maryland Annotated Code, Family Law Article §§12-201 and 12-204.
“Extraordinary medical expenses” are part of Maryland’s child support law. They can be incorporated into the child support guidelines and, therefore, be contributed to via child support. Or, these can be paid outside of child support, in proportion to incomes, either directly to the provider or via reimbursement to the parent advancing the total cost.
Either way, this typically resulted in the child support recipient paying the first $100, with anything above that contributed to by both parents.
“Extraordinary medical expenses” include uninsured, reasonable, and necessary costs for orthodontia, dental treatment, (now) vision care, asthma treatment, physical therapy, treatment for any chronic health problem, and professional counseling or psychiatric therapy for diagnosed mental disorders.
Previously, “extraordinary medical expenses” were defined as “uninsured expenses over $100 for a single illness or condition.
Now, “extraordinary medical expenses” are defined as “uninsured costs for medical treatment in excess of $250 in any calendar year” and add vision care. These changes apply to expenses incurred on or after October 1, 2019.