MedicaidAdministrativeMedium impact
Fee-for-Service Hospital Day Limits
Maryland Medicaid·MD·Hospital
Effective date
Jan 1, 2005
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated hospital day limits for diagnosis-related groups (DRGs) effective January 1, 2005, based on 100% of average length of stay data from the Health Service Cost Review Commission. Some DRG day limits will be higher or lower than previous limits, but the processing procedures remain unchanged.
Action Required
Review Attachment A for updated DRG day limits for Maryland Medicaid patients. Billing team should verify that length of stay documentation aligns with new DRG-specific day limits to avoid potential claim issues. Contact Brenda Rose at 410-767-1722 for non-psychiatric services or Richard Bandelin at 410-402-7453 for psychiatric services with questions.