MedicaidAdministrativeMedium impact
Update to PT 40-23 Enrollment of Chronic Hospitals as Special Other Acute Hospitals to Decommission the LTC Stay Approval Process
Maryland Medicaid·MD·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid is updating the enrollment process for chronic hospitals to become Special Other Acute Hospitals, which will eliminate the Long-Term Care (LTC) stay approval process. This streamlines hospital enrollment and removes prior authorization requirements for LTC stays at these facilities.
Action Required
Review current billing procedures for chronic hospital stays in Maryland. If your practice refers patients to chronic hospitals that are transitioning to Special Other Acute Hospital status, verify the new enrollment status and confirm that LTC stay approvals are no longer required. Update internal referral processes and documentation requirements accordingly.