MedicaidCoverageMedium impact
Behavioral Health Services Available to Nursing Facility Residents, Including Specialized Services Under Pre-Admission Screening and Resident Review (PASRR) Level II Requirements for Admission to Nursing Facilities
Maryland Medicaid·MD · Psychiatry, Geriatrics·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated policies for behavioral health services provided to nursing facility residents, including specialized services under PASRR Level II requirements. This affects billing and coverage for mental health and behavioral services delivered in nursing facility settings.
Action Required
Billing team should review the full policy document at https://health.maryland.gov/mmcp/provider/Documents/pt_09-19.pdf to understand specific billing requirements and coverage changes for behavioral health services in nursing facilities. Update billing procedures for Maryland Medicaid patients receiving behavioral health services in nursing facility settings.