MedicaidAdministrativeMedium impact
Approval for New Sites of Services
Maryland Medicaid·MD·Hospital
Effective date
Mar 18, 2025
We identified it
Jun 20, 2026
Summary
Kennedy Krieger Institute (KKI) has been approved to bill hospital rates at 21 new sites of service across Maryland (locations in Columbia, Fulton, Odenton, Middle River, and Baltimore). These sites are now eligible for billing under KKI's hospital accreditation. Future site additions require Maryland Department of Health (MDH) pre-approval with a 90-day review period and submission of specific data (projected volume, annual cost, drive times, unmet need).
Action Required
By March 18, 2025 (effective immediately): Billing team must update billing system and provider records to recognize the 21 newly approved KKI service locations and their associated NPIs (hospital and physician group entities) as valid billing addresses under KKI's hospital rates. Update claim submission logic to route claims from these addresses to appropriate hospital billing codes. Verify patient eligibility systems reflect these locations. Do NOT bill any future KKI expansion sites without confirmation of MDH approval letter attached to Medicaid enrollment. Providers should direct any new site expansion requests through MDH Office of Medical Benefits Management; allow 90 days for review before billing commences.