MedicaidAdministrativeLow impact
Withdrawal Procedures for LTCPRU Span Inquiries
Maryland Medicaid·MD · Geriatrics·Provider Transmittal
Effective date
Aug 21, 2023
We identified it
Jun 20, 2026
Summary
Maryland established a formal withdrawal process for LTCPRU (Long Term Care Provider Resolution Unit) span inquiries. Nursing homes can now withdraw pending cases that have been resolved elsewhere, using separate procedures based on submission method: email submission for pre-September 1, 2022 inquiries and Cognito system submission for post-September 1, 2022 inquiries. The Department also encourages providers to use a single delegated email account for all future Cognito submissions to ensure continuity of updates.
Action Required
By September 30, 2023: Nursing home billing and administrative staff should review this transmittal and identify any pending LTCPRU span inquiries that have been resolved through other means. For inquiries submitted via email before September 1, 2022, prepare a single consolidated email to mdh.ltcmapr@maryland.gov with subject line 'Span Inquiry Withdrawal – [Facility Name], [Facility Number]' containing a spreadsheet with provider number, patient name, MA number, and span inquiry dates. For inquiries submitted via Cognito on or after September 1, 2022, send withdrawal requests to the same email address with subject line 'COGNITO Withdrawal - [MA Number], [Facility Name]'. Additionally, designate a single delegated email account for all future LTCPRU Cognito submissions to ensure staff changes do not disrupt receipt of approval/denial notifications. Do not withdraw cases that have already been approved or denied by LTCPRU.