MedicaidAdministrativeMedium impact
New LTCPRU Inquiry Verification Process
Maryland Medicaid·MD · Geriatrics·Chronic Hospital
Effective date
May 1, 2025
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has established a new LTCPRU Inquiry Verification Process allowing nursing facilities and chronic hospitals to request additional reviews of initial LTCPRU decisions through a new online form. Providers can contest denials, report payment errors, or request updates on inquiries pending over 12 weeks, with reviews completed within 60 days.
Action Required
Immediate: Nursing facilities and chronic hospitals must identify and designate one point of contact for LTCPRU verification requests. Train billing staff on the new Inquiry Verification form process at https://www.cognitoforms.com/MDH3/LongTermCareProviderResolutionUnitLTCPRUInquiryVerification. Ensure staff can provide required information: Cognito Inquiry ID, participant Maryland MA ID, participant name, provider ID, and dates of service for verification requests.