MedicaidAdministrativeMedium impact
Re-admission of Nursing Facility Residents on Hospital Leave After Hospitalization of Up to Fifteen Consecutive Days
Maryland Medicaid·MD·Hospital
Effective date
Dec 11, 2007
We identified it
Jun 20, 2026
Summary
Maryland Medicaid clarifies that nursing facility residents on hospital leave for up to 15 consecutive days do not require a new medical eligibility review for re-admission. Hospitals should not submit 3871B forms to KePRO upon discharge in these cases, and additional services needed upon return should be billed by the facility for quarterly assessment review.
Action Required
Immediately: For Maryland Medicaid patients, stop submitting 3871B forms to KePRO when discharging nursing facility residents who were hospitalized for 15 days or less. Billing team must ensure these patients are returned to their original nursing facility without new eligibility review. Nursing facilities should bill for any additional services needed upon patient return.