MedicaidReimbursementMedium impact
Medicaid Rates for Administrative Days
Maryland Medicaid·MD·Hospital
We identified it
Jun 20, 2026
Summary
This policy establishes Medicaid reimbursement rates for administrative days in hospital settings. Administrative days are hospital stays where patients no longer require acute medical care but cannot be discharged due to placement or other non-medical issues.
Action Required
Billing teams at hospital-based practices should review current procedures for billing administrative day stays under Medicaid. Ensure proper documentation distinguishes between medically necessary hospital days and administrative days, as reimbursement rates differ. Verify billing system captures administrative day designation correctly for Maryland Medicaid patients.