MedicaidAdministrativeMedium impact
Administrative Days in Nursing Facilities
Maryland Medicaid·MD · Geriatrics, Internal Medicine, Family Medicine·Nursing Home
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated its policy regarding administrative days in nursing facilities, which may affect how providers bill for certain nursing home services and the circumstances under which administrative days are covered or reimbursed.
Action Required
Immediately: Billing team should review the full Maryland Medicaid provider transmittal PT25-11 to understand specific changes to administrative day billing requirements in nursing facilities. Update billing procedures and staff training accordingly to ensure compliance with new administrative day policies.