MedicaidAdministrativeLow impact
New Cognitive Assessment Tool to Assist in Determination of Medical Eligibility for Nursing Facility Services
Maryland Medicaid·MD · Geriatrics, Internal Medicine, Family Medicine·Hospital
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has implemented a new cognitive assessment tool to help determine medical eligibility for nursing facility services. This policy provides guidance on evaluation criteria and processes for nursing facility placement determinations.
Action Required
No immediate action required for billing teams. This policy primarily affects eligibility determination processes for nursing facility admissions rather than billing procedures. Providers involved in nursing facility referrals should review the new cognitive assessment criteria.