MedicaidReimbursementMedium impact
Emergency and Proposed Amendments to Hospital Services, COMAR 10.09.06
Maryland Medicaid·MD · Critical Care, Pulmonology·Hospital
Effective date
Apr 1, 2005
We identified it
Jun 20, 2026
Summary
Maryland Medicaid is implementing new reimbursement rates for ventilator-dependent patients who no longer require hospital-level care but are being cared for in chronic hospitals. The administrative day payment rate will increase from the standard nursing home rate to include an additional ventilator add-on component ($395.25 per day plus the base rate of $175.80).
Action Required
Maryland chronic hospitals and nursing homes should verify their billing systems are configured to capture the new ventilator add-on reimbursement rate for administrative days when treating ventilator-dependent patients at nursing home level of care. Update revenue cycle processes to ensure proper billing for the combined base rate plus ventilator add-on for applicable patients.