MedicaidAdministrativeMedium impact
Fee-for-Service Hospital Day Limits
Maryland Medicaid·MD·Hospital
Effective date
Jan 1, 2007
We identified it
Jun 20, 2026
Summary
Maryland Medicaid updated hospital day limits for fee-for-service admissions effective January 1, 2007, using DRG Grouper Version 24. Day limits are based on 120% of average length of stay by diagnosis-related groups, with some DRGs receiving higher limits than previously allowed.
Action Required
By January 1, 2007: Billing team must update systems to process Maryland Medicaid fee-for-service hospital claims using the new DRG day limits from Attachment A. Review current inpatient admissions against new limits. Contact Stephanie Oliver at 410-767-1722 for non-psychiatric questions or Dr. Hepburn at 410-767-8451 for psychiatric services questions.