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MedicaidReimbursementMedium impact

Change in Reimbursement to District of Columbia Hospitals

Maryland Medicaid·MD, DC·Managed Care Organizations
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland's Medicaid managed care program is changing reimbursement rates for District of Columbia hospitals. This affects billing and payment processes for Maryland Medicaid patients receiving services at DC hospitals.

Action Required

Action needed
Immediately: Billing teams serving Maryland Medicaid patients who receive services at DC hospitals must review the new reimbursement structure in transmittal PT29-11. Update billing systems and fee schedules to reflect the new payment rates for DC hospital services. Verify patient eligibility and confirm proper reimbursement amounts before submitting claims.