MedicaidAdministrativeLow impact
Certification of Need for NF Services
Maryland Medicaid·MD · Geriatrics, Internal Medicine, Family Medicine·Provider Transmittal
We identified it
Jun 20, 2026
Summary
This policy establishes certification requirements for Nursing Facility (NF) services under Maryland Medicaid managed care plans. Healthcare providers must obtain proper certification before billing for nursing facility services to ensure coverage and reimbursement.
Action Required
Billing team should review nursing facility billing procedures to ensure proper certification requirements are met before submitting claims for NF services under Maryland Medicaid managed care plans. Verify certification documentation is obtained and maintained for all nursing facility service claims.