MedicaidReimbursementHigh impact
Fiscal Year 2025 Rates for Nursing Facility Services
Maryland Medicaid·MD · Geriatrics, Palliative Care·Nursing Home
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Maryland Medicaid nursing facility reimbursement rates have been adjusted effective July 1, 2024, based on facility-specific case mix index (CMI) using 2022-2023 RUG-IV data and 2022 cost report rebasing. Facilities must obtain updated rate letters from Myers & Stauffer LC, update Medicare coinsurance calculations using the revised worksheet, and reflect the new personal needs allowance of $102.00/month per Medicaid participant in billing.
Action Required
By July 1, 2024: Billing team must download FY 2025 rate letter from secure Myers & Stauttaff LC portal (verify provider number accuracy) and provide rates to accounting/bookkeeper for account setup. Immediately update Medicare coinsurance calculations using the revised FY 2025 worksheet (accessible via https://mmcp.health.maryland.gov/longtermcare/Pages/Nursing-Facility-Providers.aspx > Document Library > Coinsurance Worksheets). Update billing system to reflect personal needs allowance at $102.00/month per Medicaid participant effective July 1, 2024. Nursing facility administrators must distribute this transmittal to appropriate staff. If rate letter not received or questions exist, contact Myers & Stauffer LC at (410) 356-9256. Failure to implement rate changes will result in incorrect Medicaid reimbursement and Medicare coinsurance calculations.