MedicaidAdministrativeMedium impact
Proposed Amendments to COMAR 10.09.04 Home Health Services
Maryland Medicaid·MD · OB-GYN, Family Medicine, Pediatrics·Home Health
We identified it
Jun 20, 2026
Summary
Maryland Medicaid is proposing to restrict newborn early discharge assessments to physician orders only, removing the ability for certified nurse midwives and nurse practitioners to order these services. This aligns with federal requirements that all home health services must be physician-ordered.
Action Required
By January 22, 2008: Submit written comments if desired to Michele Phinney at DHMH. Once final, ensure only physicians order newborn early discharge assessments - certified nurse midwives and nurse practitioners can no longer order these services. Update provider workflows and documentation requirements accordingly.