MedicaidReimbursementMedium impact
Fiscal Year 2022 Medicaid Rates for Administrative Days
Maryland Medicaid·MD · Critical Care, Psychiatry·Provider Transmittal
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated payment rates for administrative days in hospitals effective July 1, 2021. Three distinct rates now apply: $478.17/day for psychiatric patients awaiting residential treatment placement, $799.50/day for ventilator patients no longer requiring hospital-level care, and $284.90/day for all other qualifying administrative day patients.
Action Required
By September 26, 2021: Billing team must update all billing system rate tables and claim submission software to reflect the three new administrative day rates for Maryland Medicaid claims. Update internal billing guidance documentation to ensure correct rate selection based on patient type (psychiatric/placement, ventilator, or other). Audit any administrative day claims submitted between July 1-August 26, 2021 using old rates and resubmit with corrected rates. Verify that billing staff can differentiate between the three patient categories when coding administrative days. Contact Maryland Medical Assistance Program at 410-767-5457 (billing questions) or specialty-specific numbers for clarification on rate applicability.