← Back to list
Payment of Medically Necessary Ancillaries on an Administrative Day
Act
by Jul 15, 2024
Effective date
Jul 1, 2024
Identified
Jun 20, 2026
Summary
Maryland Medical Assistance Program implemented a new policy allowing hospitals to bill select medically necessary ancillary services (labs, imaging, cardiology, renal, and respiratory services) on Administrative days when acute care is no longer required. Hospitals must submit requests via the updated MDH 1288 Form to the Utilization Control Agent (UCA) with documentation of placement activities, and only approved ancillaries from the specified list are eligible for reimbursement.
Get alerts when payers change rules like this one
We check Maryland Medicaid and other payers every day and email you when a change matches your specialty and state.
Get Maryland Medicaid alertsPolicy Monitoring is free. No card required.
What to do
by Jul 15, 2024 · 6 steps
01Billing team must obtain and review the updated MDH 1288 Form from the UCA Transition portal.
02Hospital administrative and billing staff must be trained on the new Administrative day ancillary billing process.
03Update internal billing procedures to identify eligible ancillary services from the approved list (labs, imaging, cardiology, renal, respiratory).
04When submitting retrospective reviews to the UCA, include the MDH 1288 form with ancillary service names clearly documented in the designated section.
05Claims submitted without proper UCA approval for ancillaries on Administrative days will be denied.
06Establish a process to track which ancillaries are approved per case to ensure accurate billing.
Codes mentioned
80048800538502585610837358410082310710467401874150741607046071260
Original notice
Payment of Medically Necessary Ancillaries on an Administrative Day
health.maryland.gov no longer serves this document. We saved a copy on Nov 6, 2026.
Related changes
See all Maryland Medicaid changes →Medicaid Fee-for-Service Payment of Medically Necessary Ancillaries on Administrative DaysHighEffective Jan 1, 2026 · HospitalPT 67-26: Medicaid Fee-for-Service Payment of Medically Necessary Ancillaries on Administrative DaysMediumEffective Jan 1, 2026 · Claims & BillingMedicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse PractitionersMediumEffective Jul 1, 2025 · Managed Care OrganizationsPT 07-26: Medicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse PractitionersMediumEffective Jul 1, 2025 · Managed CareBrowse every Maryland Medicaid change in the policy list