MedicaidCoverageMedium impact
Fee-for-Service Hospital Day Limits
Maryland Medicaid·MD·Hospital
Effective date
Jul 1, 2006
We identified it
Jun 20, 2026
Summary
Maryland Medicaid increased hospital day limits from 105% to 120% of average length of stay by DRG effective July 1, 2006. This allows longer covered hospital stays before requiring additional authorization or payment adjustments for Medicaid patients.
Action Required
By July 1, 2006: Billing team should update internal reference materials with new DRG day limits for Maryland Medicaid patients. Review the attachment for specific day limits by diagnosis related group. Note that processing procedures remain the same - only the day limits have increased, which should reduce denials for longer stays.