MedicaidAdministrativeMedium impact
Eligibility for Medical Day Care Services
Maryland Medicaid·MD · Geriatrics·Medical Day Care
Effective date
Dec 9, 2004
We identified it
Jun 20, 2026
Summary
Maryland Medicaid changed the effective date for Medical Day Care eligibility decisions to begin on the date a physician signs the DHMH 3871 or 3871B form, rather than waiting for the Utilization Control Agent's approval. This allows patients to start services immediately upon physician approval, but providers bill at their own risk until final UCA approval is received.
Action Required
Immediately: Medical Day Care providers should update intake procedures to begin services once physician signs DHMH 3871 or 3871B forms. Update billing workflows to track patients receiving services before UCA approval. Establish protocols for managing financial risk since reimbursement still requires final UCA eligibility determination. Contact Medical Day Care Staff at 410-767-1444 with questions.