MedicaidCoverageMedium impact
Clarification of HealthChoice Coverage for Long Term Care Facilities
Maryland Medicaid·MD·Chronic Hospital
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has issued clarification on HealthChoice coverage for long term care facilities, providing updated guidance for chronic hospital billing and coverage policies. This policy update affects how providers should handle HealthChoice member services in long-term care settings.
Action Required
Immediately: Billing team should review the Maryland Medicaid transmittal PT 36-23 to understand updated HealthChoice coverage guidelines for long-term care facilities. Update billing procedures and staff training for any Maryland HealthChoice members receiving chronic hospital services. Ensure compliance with clarified coverage requirements to prevent claim denials.