MedicaidReimbursementLow impact
Changes to Maryland Medicaid's Nursing Facility Pay-for-Performance Program
Maryland Medicaid·MD · Geriatrics·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated its Nursing Facility Pay-for-Performance Program with new performance metrics and payment structures. This change affects billing and reimbursement for nursing facility services provided to Maryland Medicaid beneficiaries.
Action Required
Maryland providers billing nursing facility services: Review Provider Transmittal PT 15-21 for updated performance metrics and payment structure changes. Update billing processes to align with new pay-for-performance requirements. Contact Maryland Medicaid for specific implementation timelines and requirements.