MedicaidReimbursementMedium impact
Fiscal Year 2011 Medicaid Rates for Administrative Days
Maryland Medicaid·MD · Critical Care, Psychiatry·Hospital
Effective date
Jul 1, 2010
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated payment rates for administrative days effective July 1, 2010. Rates now vary by patient category: $336.94/day for psychiatric patients awaiting placement, $712.36/day for ventilator patients no longer requiring hospital care, and $222.02/day for all other qualifying administrative days. Billing teams must apply the correct rate based on patient classification to avoid underbilling or claim denials.
Action Required
By November 30, 2010: Billing team must update Maryland Medicaid billing system to reflect new administrative day rates. (1) Configure system to apply $336.94/day for psychiatric patients awaiting residential treatment center placement; (2) Configure system to apply $712.36/day for ventilator patients determined to no longer require hospital-level care; (3) Configure system to apply $222.02/day for all other administrative day qualifying patients. Ensure providers document patient classification (psychiatric/ventilator/other) on claims to support rate selection. Contact Maryland Medical Assistance Program at 410-767-5361 (Billing Questions) or 410-767-1722 (Acute Care Policy) if rate application is unclear. Claims submitted with incorrect rates may be denied or require adjustment.