MedicaidDocumentationMedium impact
Implementation of the interRAI-Pediatric Home Care Assessment, interRAI Coding Clarification, and Prioritization of LHD Assessments
Maryland Medicaid·MD · Pediatrics, Family Medicine·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has implemented the interRAI-Pediatric Home Care Assessment tool, clarified coding guidelines for interRAI assessments, and established prioritization protocols for Local Health Department (LHD) assessments. This affects pediatric home care services billing and assessment documentation requirements.
Action Required
Immediately: Pediatric home care providers must begin using the new interRAI-Pediatric Home Care Assessment tool for all applicable patients. Update assessment protocols and staff training for the new tool. Review and implement the updated interRAI coding clarification guidelines to ensure proper documentation and billing compliance. Establish prioritization workflows for LHD assessments as specified in the guidance.