MedicaidAdministrativeHigh impact
Nursing Facility Reimbursement Handbook
Maryland Medicaid·MD · Geriatrics·Nursing Home
Effective date
Oct 1, 2010
We identified it
Jun 20, 2026
Summary
Maryland Medicaid updated its Nursing Facility Reimbursement Handbook effective October 1, 2010, transitioning from MDS 2.0 to MDS 3.0 coding system. Key changes include elimination of required leave authorization forms (physician orders still required in medical record) and mandatory completion of Maryland Monthly Assessment (MMA) within 31 days or facilities risk losing reimbursement.
Action Required
By October 1, 2010: Nursing facilities must transition to new MDS 3.0 coding system and updated Maryland Monthly Assessment form. Stop completing Authorization for Leave of Absence forms but ensure physician orders for leave are documented in medical records. Complete MMA forms within 31 days of previous assessment to avoid losing monthly reimbursement. Download new handbook and forms from Maryland Medicaid website.