MedicaidAdministrativeMedium impact
Change to Short Term Stay Process (257 Guidance)
Maryland Medicaid·MD·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated the Short Term Stay Process with new 257 guidance affecting how short-term inpatient stays are processed and billed. This change modifies existing procedures for handling brief hospital admissions under Maryland Medicaid.
Action Required
Immediately: Review Provider Transmittal 41-21 for updated Short Term Stay Process requirements. Billing team should update procedures for processing short-term inpatient stays per new 257 guidance. Coordinate with utilization review staff to ensure compliance with revised Maryland Medicaid requirements.