MedicaidAdministrativeMedium impact
Clarification of 257 Submission Processes
Maryland Medicaid·MD · Geriatrics·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medical Assistance Program has extended the October 1, 2025 deadline for submitting MDH 257 (Long Term Care Patient Activity Report) forms to Telligen, with a new deadline to be determined. The policy clarifies two submission pathways: web-based submission via MarylandBenefits.gov or continued fax submission to Telligen (1-888-297-4276), with different procedures depending on whether the nursing facility or hospital requested the level of care.
Action Required
REQUIREMENTS:
- By [NEW DEADLINE - TBD]: Nursing facility billing teams must ensure all MDH 257 submissions are completed using one of two methods: (1) Web submission via MarylandBenefits.gov with doctor's orders uploaded to Qualitrac if facility requested level of care, or (2) Fax submission to Telligen at 1-888-297-4276.
- Immediately: Update submission procedures to distinguish between facility-initiated and hospital-initiated level of care requests. For facility-initiated requests: upload doctor's order to Qualitrac and fax MDH 257 to Telligen. For hospital-initiated requests: fax both doctor's order and MDH 257 to Telligen at 1-888-297-4276.
- Immediately: For short-term stays (less than 30 days), ensure original MDH 257 includes both begin pay date and discharge date on all submissions.
- Notify all relevant staff (billing, intake, nursing facility administrators) of the extended deadline and updated submission processes.
- Monitor Maryland Medical Assistance Program communications for the new deadline announcement and update internal systems accordingly.
- Failure to submit MDH 257s using the correct method and pathway may result in delayed authorization or claim processing.