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MedicaidAdministrativeMedium impact

Billing Policies for "128 - Beyond Statute" Denial Code

Maryland Medicaid·MD · Geriatrics·Nursing Home
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Maryland Medicaid has updated billing policies specifically for handling denial code '128 - Beyond Statute' for nursing home providers. This addresses claims that are being denied for exceeding statutory filing deadlines.

Action Required

Action needed
Immediately: Nursing home billing staff must review the new Maryland Medicaid transmittal PT 71-25 to understand updated procedures for handling '128 - Beyond Statute' denial codes. Update billing workflows and denial management processes according to the new guidance to prevent future statutory deadline violations.

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