MedicaidAdministrativeMedium impact
Participant Resource Amounts During Split Months
Maryland Medicaid·MD·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has issued new guidance on how to calculate participant resource amounts during months where eligibility changes occur mid-month (split months). This affects eligibility determination and potentially impacts billing for services provided during these transition periods.
Action Required
Billing team should review the Maryland Medicaid provider transmittal PT 39-21 to understand new calculation methods for participant resources during split months. Verify patient eligibility more carefully during months where Medicaid coverage may have changed mid-month to avoid claim denials.