MedicaidCoverageMedium impact
Payment of Medically Necessary Ancillaries on an Administrative Day: MWPH
Maryland Medicaid·MD · Pediatrics·Special Pediatric Hospital
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Maryland Medicaid now allows payment for medically necessary ancillary services provided on administrative days at Special Pediatric Hospitals (MWPH). This expands billing opportunities for ancillary services that were previously not reimbursable on days when only administrative activities occurred.
Action Required
Maryland providers at Special Pediatric Hospitals: Review the full transmittal document to identify specific ancillary services now billable on administrative days. Update billing procedures to capture these previously non-reimbursable services. Train billing staff on documentation requirements for medical necessity of ancillary services on administrative days.