MedicaidAdministrativeMedium impact
Billing for Fee-for-Service Observation Stays
Maryland Medicaid·MD·Provider Transmittal
We identified it
Jun 20, 2026
Summary
This policy provides contact information for Managed Care Organizations (MCOs) regarding billing questions for observation stays. The policy establishes specific contacts at each MCO for providers to reach out to when they have billing issues or questions related to observation stay claims.
Action Required
Immediately: Billing team should save the provided MCO contact list for observation stay billing inquiries. Update billing procedure documentation to include these specific contacts for each plan when questions arise about observation stay claims. Use these contacts when encountering billing issues or needing clarification on observation stay requirements.